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目的:探讨ELISA法在诊断梅毒螺旋体感染中的临床效果。方法:选取2014年6月至2015年12月到我院进行梅毒螺旋体感染诊断的78例患者作为调查对象,通过回顾分析法,对所有患者采用甲苯按红不加热血清试验(TRUST)和酶联免疫吸附试验(ELISA),对这两种试验方法结果进行比较。结果:TRUST的敏感性、特异性、检出率等分别为91.34%、58.45%、87.28%;ELISA的验敏感性、特异性、检出率等分别为98.67%,87.44%,97.67%;经比较,ELISA的检验价值要比TRUST的检验价值高,比较差异显著(P<0.05)。其中TRUST的假阳性率为16.76%、假阴性率26.76%,ELISA的假阳性率为0、假阴性率0,经两组的假阳性率与假阴性率比较,差异显著(P>0.05),具有统计学意义。结论:在梅毒螺旋体感染诊断中,ELISA检验法的临床诊断价值、敏感性、特异性等较为显著,值得推广以及应用。
Objective: To investigate the clinical effect of ELISA in the diagnosis of Treponema pallidum infection. Methods: Totally 78 patients diagnosed with Treponema pallidum infection in our hospital from June 2014 to December 2015 were selected as research objects. By retrospective analysis, all patients were treated with TRUST and ELISA Immunosorbent assay (ELISA), the results of these two test methods were compared. Results: The sensitivity, specificity and detection rate of TRUST were 91.34%, 58.45% and 87.28% respectively. The sensitivity, specificity and detection rate of ELISA were 98.67%, 87.44% and 97.67% respectively. Compared with TRUST, the test value of ELISA was higher than that of TRUST (P <0.05). Among them, the false positive rate of TRUST was 16.76%, the false negative rate was 26.76%, the false positive rate of ELISA was 0 and the false negative rate was 0. The false positive rate and false negative rate of two groups were significantly different (P> 0.05) has statistical significane. Conclusion: In the diagnosis of Treponema pallidum, the clinical diagnostic value, sensitivity and specificity of ELISA test are more significant and worthy of promotion and application.