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目的:通过TRUST、ELISA两种不同方法检测梅毒的结果,分析笔者所在钦州市中医医院检验科2013、2014年2年来检测疑似梅毒血液标本15945例,分别通过2种检测方法进行测定。结果:ELISA法的敏感性、阳性预测值结果均高于TRUST法,但是二者与临床诊断结果比较,差异无统计学意义(P>0.05)。结论:2种不同方法检测梅毒均有各自特点,应根据临床实际情况,找出有规律、有联系的方案和指标来参与临床治疗;寻求直接、有效、合理、经济的实验诊断指标和方案,提高临床诊断准确率。
OBJECTIVE: To detect the results of syphilis by TRUST and ELISA, and to analyze 15945 cases of suspected syphilis blood samples detected by the Department of Clinical Laboratory of Qinzhou Hospital of Traditional Chinese Medicine in 2013 and 2014, respectively, by two kinds of detection methods. Results: The sensitivity and positive predictive value of ELISA were higher than that of TRUST, but the difference between them was not statistically significant (P> 0.05). Conclusion: There are two kinds of different methods to detect syphilis have their own characteristics, should be based on clinical practice, to find a regular, linked programs and indicators to participate in clinical treatment; seek direct, effective, reasonable and economic indicators of experimental diagnosis and programs, Improve clinical diagnostic accuracy.