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以柯萨奇B组病毒(CVB)感染的组织细胞为抗原,用间接免疫酶标法测定105例病毒性心肌炎(VMC)患儿血清CVB的IgM抗体,与59例其他病患儿(COD)和67名健康儿童(HC)的结果比较,发现:VMC组IgM的几何平均滴度(GMT),女性高于男性,(P<0.05);且男女都高于HC组(P<0.01)。与COD相比,女性高于COD组,而男性无统计学意义。男女合并,如以滴度110作为IgM诊断儿童VMC的阳性标准,鉴别VMC与COD和HC的符合率分别为65.85%和83.72%。表明CVB-IgM抗体用于儿童CVB心肌炎的诊断有一定的参考价值。
IgM antibodies against CVB in 105 patients with viral myocarditis (VMC) were detected by indirect immunoenzymatic assay with CVB-infected tissue cells, and 59 patients with other disease (COD) (HCT) in 67 healthy children (HC). The results showed that the geometric mean titer (GMT) of IgM in VMC group was higher than that of male (P <0.05) .01). Compared with COD, women were higher than COD group, while men had no statistical significance. If the titer of 110 was used as the positive standard for diagnosis of VMC in children, the coincidence rates of VMC and COD and HC were 65.85% and 83.72% respectively. That CVB-IgM antibodies for the diagnosis of CVB myocarditis in children with a certain reference value.