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抗核抗体检测在自身免疫性疾病中的应用评价 被引量:8

Evaluation on the Detection of Anti-nuclear Antibody for the Diagnosis of Autoimmune Diseases
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摘要 目的:探讨抗核抗体(ANA)检测对自身免疫性疾病诊断的指导意义。方法:回顾性分析2010年1月~2010年12月间在我院就诊的患者血清自身抗体的检测结果,599例患者,其中自身免疫性疾病患者313例,非自身免疫性疾病286例,所有患者血清检测ANA,以Hep-2细胞/肝组织为基质的间接免疫荧光法检测ANA。结果:在自身免疫性疾病中,干燥综合征(SS)、类风湿性关节炎(RA)、混合型结缔组织病(MCTD)和系统性红斑狼疮(SLE)中的阳性率分别为73.43%、53.66%、61.04%和90.63%;在非自身免疫性疾病中的阳性率为21.68%,阳性率明显低于自身免疫性疾病组(P<0.01);在自身免疫性疾病组,荧光核型以颗粒型最多见,占47.22%~63.84%。结论:ANA的检测有助于自身免疫性疾病的诊断和筛查。 Objective To explore the sensitivity and correlation on anti-nuclear antibody in the diagnosis of autoimmune disea- ses. Methods The results of auto- antibody detection in serum were retrospectively analyzed for patients visited from Jan to Dec in 2010, among which 313 cases were AID and 286 cases were patients with non- autoimmune diseases. Serum samples of all patients were analyzed by testing anti-nuclear antibody(ANA) with indirect immunofluorescene(IIF), based on the cultured human epidermoid car- cinoma cells (Hep-2 cell)/liver. Results Among autoimmune diseases ,the positive rate of SS, RA, MCTD and SLE were 73.43%, 53.66% ,61.04% and 90.63% individually; non- autoimmune diseases were 21.68%, less lower than autoimmune diseases ( P 〈 0.01 ). The fluorescent karyotype was mainly granular pattern . Conclusion Acting as a screening experimental method is helpful for the diagnosis and screening of autoimmune diseases
出处 《放射免疫学杂志》 CAS 2012年第3期299-301,共3页 Journal of Radioimmanology
关键词 抗核抗体 间接免疫荧光法 滴度 anti-nuclear antibody, indirect immunofluorescene, titer
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  • 1Higashi N, Niimi Y, Aoki M, et al. Clinical features of antinuclear antibody-positive patients with atopie dermatitis[ J]. J Nippon Med Sch, 2009,76 : 300 -307.
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  • 4李永哲.自身抗体检测技术临床推广应用和质量保证工作中应重视的问题[J].中华检验医学杂志,2006,29(9):769-773. 被引量:81
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