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唾液IgG抗体测定诊断幽门螺杆菌感染

Diagnosis of Helicobacter pylori infection by detecting the IgG antibody in saliva

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【作者】 郝志明; 周秦蜀; 吴玉娥;

【Author】 Hao Zhiming, Zhou Qingshu, Wu Yu’e. The First Affiliated Hospital of Xian Medical University, Xi’an 710061

【机构】 西安医科大学第一附属医院消化科!西安710061;

【摘要】 目的 探讨唾液抗HpIgG测定对Hp感染的诊断价值。方法 用ELISA法测定 5 4例Hp阳性及 15例Hp阴性患者唾液内抗HpIgG ,并与血清抗体测定结果相比较。结果 唾液抗HpIgG对Hp感染诊断的敏感性为 90 7% ,特异性为 80 % ,准确性为 88 4% ,阳性预测值 94 2 % ,阴性预测值 70 6 % ,与血清测定结果接近 (分别为 92 6 % ,86 7% ,91 3 % ,96 1%和 76 5 % ) ,唾液抗HpIgG与血清内抗HpIgG滴度显著正相关 (r=0 6 73 7,P <0 .0 0 1)。结论 唾液抗HpIgG测定诊断Hp感染有较好应用价值。

【Abstract】 Aim To assess the salivary diagnosis of H. pylori infection. Methods Salivary and serum IgG antibody to H. plyori was tested by ELISA in 54 patients with H pylori infection and 15 patients without H. pylori infection. Results The sensitivity and specificity of salivary H. pylori IgG were 90.7% and 80% respectively; the positive and negative predictive values were 94.2% and 70.6% respectively; and the accuracy 88.4%. The corresponding figures for serum H. pylori IgG were 92.6% and 86.7%;96.1% and 76.5%; and 91.3%. The titers of salivary H pylori IgG closely correlated with that of serum H. pylori IgG.Conclusion This study suggests that salivary H. pylori IgG is an accurate indicator of gastric H. pylori infection.

【关键词】 幽门螺杆菌; 唾液; 抗体; 诊断;
【Key words】 Helicobacter pylori Saliva Antibody Diagnosis;
  • 【文献出处】 胃肠病学和肝病学杂志 ,CHINESE JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY , 编辑部邮箱 ,1999年04期
  • 【分类号】R378
  • 【被引频次】1
  • 【下载频次】25
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