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抗环瓜氨酸肽抗体检测在类风湿性关节炎诊断中的临床价值研究

阮绍均 林勇平 张秀明

中国全科医学2012,Vol.15Issue(34):3981-3983,3.
中国全科医学2012,Vol.15Issue(34):3981-3983,3.DOI:10.3969/j.issn.1007-9572.2012.12.016

抗环瓜氨酸肽抗体检测在类风湿性关节炎诊断中的临床价值研究

Value of Anti-cyclic Citrullinated Peptide Antibody Detection in the Diagnosis of Rheumatoid Arthritis

阮绍均 1林勇平 2张秀明3

作者信息

  • 1. 510030 广东省广州市越秀区六榕街社区卫生服务中心检验科
  • 2. 广州医学院第一附属医院检验科
  • 3. 广州中医药大学第二附属医院检验科
  • 折叠

摘要

Abstract

Objective To explore the value of detection of anti - cyclic citndlinated peptide (anti - CCP) antibodies in the diagnosis and treatment of rheumatoid arthritis ( RA) . Methods The level of anti - CCP and RF of 41 RA patients and 85 non - RA patients were respectively detected using microparticle enzyme immunoassay method ( MEIA) and immune nephelome-try. Results The specificity and sensitivity of anti - CCP in detecting RA were 94. 1% and 65. 9% , respectively, and those of RF were 82. 3% and 85. 4% , respectively. The specificity of anti -CCP was higher than that of RF, and the sensitivity of RF was higher than that of anti - CCP (χ2 = 5. 67、4. 23, P < 0. 05) . Conclusion Anti - CCP has lower sensitivity but higher specificity than RF in detecting RA, therefore, the combination of anti - CCP and RF are suggested to raise the diagnostic accuracy of RA.

关键词

抗环瓜氨酸肽抗体/类风湿因子/类风湿性关节炎

Key words

Anti - cyclic citrullinated peptide/ Rheumatoid factor/ Rheumatoid arthritis

分类

医药卫生

引用本文复制引用

阮绍均,林勇平,张秀明..抗环瓜氨酸肽抗体检测在类风湿性关节炎诊断中的临床价值研究[J].中国全科医学,2012,15(34):3981-3983,3.

基金项目

广东省医学科研基金(A2010252) (A2010252)

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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