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1. 重庆医科大学附属第二医院检验科,重庆,400010
2. 重庆市中医院骨科,重庆,400011
3. 福建省福州市福建省立医院,福州,350001
纸质出版日期:2014,
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李 月, 代震宇, 陈 觅. 免疫金标法与化学法检测胃液隐血方法学评价[J]. 重庆医科大学学报, 2014,38(12):1799-1801.
Li Yue, Dai Zhenyu, Chen Mi. Evaluation on gold immunochromatography assay and chemical method in detection of occult blood in gastric juice[J]. Journal of Chongqing Medical University, 2014,38(12):1799-1801.
目的:浅析免疫金标法(gold immunochromatography assay,GICA)与化学法检测胃液隐血的方法学评价。方法:以我院2012年1月至2013年1月胃液隐血检测的311例患者为研究对象,对其送检的胃液或呕吐物同时行GICA和化学法检查。结果:GICA、化学法的阳性预测率、阴性预测率、诊断符合率分别为64.73%、100.00%、79.74%,70.00%、53.09%、65.59%;两者联合诊断时诊断符合率可达95.38%。结论:GICA的阳性预测值与化学法并无统计学差异,但阴性预测值、诊断符合率明显优于化学法。可通过两法联合诊断来提高检测结果准确性。
Objective:To explore the value of gold immunochromatography assay(GICA) and chemical method in the detection of oc-cult blood in gastric juice. Methods:Totally 311 patients were taken as test samples. Chemical method and GICA were used to detect the gastric juice and vomits. Results:The positive predictive rates of GICA and chemical method were 64.73% and 100%;the negative predicative rates of GICA and chemical method were 79.74% and 70%;diagnostic accordance rates of GICA and chemical method were 53.09% and 65.59%.The combined diagnosis coinci-dence rate can reach 95.38%. The specificity and coincidence of GICA was better than those of chemical method with statis-tically significant differences(P<0.05). Conclusion:GICA is su-perior to chemical method in negative predictive value and diagnostic accordance. The combination of both methods can improve the accuracy of the diagnostic therapy
胃液潜血免疫法化学法
gastric juiceoccult bloodimmunological methodchemical method
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