摘要
1617例糖尿病患者中自身抗体阳性率 2 9.7%。单一抗体的阳性率明显低于 3种抗体联合检测。多种胰岛自身抗体联合检测可提高 1型糖尿病早期诊断的敏感性。谷氨酸脱羧酶抗体为成年糖尿病患者预示胰岛素依赖的较好的筛查试验 ,与酪氨酸蛋白磷酸酶抗体联合检测可达近 10 0 %的预报价值 ;而青少年糖尿病患者则还需检测胰岛细胞抗体。
The positive rate of autoantibodies was 29.7% in 1617 diabetic patients. The positive rate of monoautoantibody was lower than that of combined assay with 3 autoantibodies. Combined assay of multiple autoantibodies may enhance the positivity of early diagnosis of type 1 diabetes mellitus. Glutamic acid decarboxylase antibody (GADA) may be a better screening test for predicting insulin dependency, the prediction of GADA combined with protein tyrosine phosphatase antibody may approximate to 100%, whereas islet cell antibody assay may be needed in the adolescent patients.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
2003年第4期287-288,共2页
Chinese Journal of Endocrinology and Metabolism
