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酶联免疫吸附试验检测幽门螺杆菌纯化脲酶抗原与全菌抗原的比较——幽门螺杆菌脲酶诊断试剂的应用及血清学诊断研究

[A comparison of purified urease antigen and whole cell antigen of Helicobacter pylori by ELISA test--study on the application and serum diagnoses of Helicobacter pylori urease diagnostic reagent].

作者信息

Chen J J, Yang Z X, Jiang X G

机构信息

Institute of Epidemiology & Microbiology, Chinese Academy of Preventive Medicine, Beijing.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 1996 Feb;17(1):44-6.

PMID:8758420
Abstract

A useful assay for epidemiological survey of H. pylori infection was reported, using the urease antigen of H. pylori to detect the anti-urease antibody in sera from 676 patients suffered from gastropathy with ELISA technique, and compared with whole cell antigen. Results showed that the purified urease antigen was better than whole cell antigen. The partially purified urease antigens rapid diagnostic reagent of H. pylori was examined in hospital/institution and compared with whole-cell antigens. Results of sera from 676 H. pylori-positive gastritis and non-ulcer dyspepsia patients being tested showed that specificity and sensitivity of ELISA were 96% and 98% respectively. It seemed to be very useful for epidemiological studies on H. pylori infection. The use of ELISA in the detection of IgG antibodies against H. pylori was also sensitive, specific and rapid in assessing the improvement of both acute and chronic inflammation, cleaning of bacteria and the antibody titers after treatment, so as recognized an ideal diagnostic method.

摘要

有报道称一种用于幽门螺杆菌感染流行病学调查的有用检测方法,利用幽门螺杆菌的脲酶抗原,采用酶联免疫吸附测定(ELISA)技术检测676例胃病患者血清中的抗脲酶抗体,并与全细胞抗原进行比较。结果表明,纯化的脲酶抗原优于全细胞抗原。对幽门螺杆菌部分纯化脲酶抗原快速诊断试剂进行了医院/机构检测,并与全细胞抗原进行比较。对676例幽门螺杆菌阳性胃炎和非溃疡性消化不良患者的血清检测结果显示,ELISA的特异性和敏感性分别为96%和98%。这似乎对幽门螺杆菌感染的流行病学研究非常有用。ELISA用于检测抗幽门螺杆菌IgG抗体在评估急慢性炎症的改善、细菌清除及治疗后抗体滴度方面也具有灵敏、特异和快速的特点,因此被认为是一种理想的诊断方法。

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