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化学发光法在HIV筛查中出现假阳性结果的回顾性分析
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作者 王松子 王怡翀 +3 位作者 李柳冰 梁嘉颖 邓间开 崔颖鹏 《国际医药卫生导报》 2023年第14期1962-1966,共5页
目的探讨化学发光微粒子免疫分析法(CMIA)检测人类免疫缺陷病毒(HIV)出现假阳性率较高的原因。方法采用回顾性分析,收集中山大学附属第一医院2018年1月至2020年12月经CMIA法检测HIV呈阳性的病历资料295例,年龄(47.4±16.7)岁;其中,... 目的探讨化学发光微粒子免疫分析法(CMIA)检测人类免疫缺陷病毒(HIV)出现假阳性率较高的原因。方法采用回顾性分析,收集中山大学附属第一医院2018年1月至2020年12月经CMIA法检测HIV呈阳性的病历资料295例,年龄(47.4±16.7)岁;其中,男185例,年龄(47.5±17.4)岁;女110例,年龄(47.2±15.5)岁。根据HIV确证试验的结果,将收集的病例分为真阳性组(101例)、假阳性组(194例),分析假阳性结果与患者检测时间、性别、年龄和S/CO值的关系。收集CMIA法检测HIV呈阳性的病历资料155例,分为真阳(77例)、假阳(78例)、阴性组(78例),分析假阳性与患者诊断及其他实验室检验项目的关系。采用SPSS24.0进行统计分析,率的比较采用χ^(2)检验。结果2018年假阳率为47.6%(39/82),2019年假阳率为67.3%(66/98),2020年假阳率为77.4%(89/115),CMIA法筛查HIV的假阳性率逐年增加。20岁以下及70岁以上的患者呈现检测假阳性率较高(P<0.05)。女性患者假阳性率比男性患者高[87.3%(96/110)比53.0%(98/185)],差异有统计学意义(P<0.05)。假阳性患者S/CO值绝大部分偏低,有循环系统、消化系统、泌尿系统与生殖系统疾病的患者假阳性比例较高。结论年龄、性别、S/CO值和伴发循环、消化系统疾病可能是导致假阳性率增高的原因。 展开更多
关键词 人类免疫缺陷病毒 化学发光微粒子免疫分析法 筛查试验 假阳性 回顾性分析
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Effect of acupuncture at Neiguan (PC 6) on cardiac function using echocardiography in myocardial ischemia rats induced by isoproterenol 被引量:12
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作者 wang songzi Ren Lu +9 位作者 Jia Lianqun Gu Zhongyue Fan Xu Chen Wenna Hou Ping Liang Fanrong Rong Peijing Ma Tieming Liu Xulai Chen Yiguo 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2015年第6期653-658,共6页
OBJECTIVE: To investigate the effect of acupuncture at Neiguan(PC 6) on cardiac function using echocardiography in rat models of myocardial ischemia(MI) induced by isoproterenol(ISO).METHODS: Twenty-seven Sprague-Dawl... OBJECTIVE: To investigate the effect of acupuncture at Neiguan(PC 6) on cardiac function using echocardiography in rat models of myocardial ischemia(MI) induced by isoproterenol(ISO).METHODS: Twenty-seven Sprague-Dawley rats were randomly assigned to normal, model, and acupuncture groups. The model and acupuncture groups were given injections of ISO(85 mg/kg) to establish the MI model. After model establishment,the acupuncture group was treated with acupuncture at Neiguan(PC 6) for 30 min. Echocardiography was used to monitor diastolic and systolic function for 30 min starting from the time after the acupuncture needles were removed. Changes in the length of left ventricular internal diameter at end-diastole(LVIDd), length of left ventricular internal diameter at end-systole(LVIDs), the ratio of mitral peak velocity at early diastole and atrial contraction(E/A), ejection fraction(EF), fractional shortening(FS), and stroke volume(SV) were measured.RESULTS: Compared with the model group at 0and 15 min after needles were removed, the means of LVIDd and LVIDs were significantly lower(P <0.01) and E/A, EF, FS, and SV significantly higher(P < 0.01) in the acupuncture group. In the acupuncture group, the means of LVIDd and LVIDs15 min after the needles were removed were significantly higher(P < 0.01) than those at 0 min. The means of E/A, EF, FS, and SV significantly decreased(P < 0.01) from 0 to 15 min in the acupuncture group.CONCLUSION: These findings indicate that acupuncture at Neiguan(PC 6) can affect cardiac function by increasing left ventricular diastolic and systolic function in MI rat models, but the effect only lasts for 15 min. 展开更多
关键词 ACUPUNCTURE Point PC 6 (Neiguan) Myocardial ISCHEMIA Heart function tests Echocar-diography ISOPROTERENOL
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