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胰蛋白酶原2在AP诊断中的作用及与淀粉酶和脂肪酶的对比实验
http://www.100md.com 《实用医技杂志》 2006年第1期
白酶,,],尿胰蛋白酶原2;急性胰腺炎;淀粉酶;脂肪酶,1材料、对象和方法,2结果,3讨论,参考文献:
     [摘 要] 目的:探讨尿胰蛋白酶原2在急诊急性胰腺炎(AP)诊断中的应用及与淀粉酶、脂肪酶的比较。方法:尿胰蛋白酶原2采用免疫层析法,淀粉酶采用PNPG7法,脂肪酶采用比浊法。对急诊AP病人59例在入院时进行上述三个项目的测定。对照组为诊断为非胰腺炎的病人。结果:AP患者中有58例胰蛋白酶原2为阳性,诊断敏感性、特异性、阳性预期值和阴性预期值分别达到98.3%、92%、93.5%和97.9%,明显高于淀粉酶和脂肪酶,AP组和对照组差别有统计学意义。结论:胰蛋白酶原2具有简便、快速、准确的优点,是急诊诊断AP的一个良好的指标。

    [关键词] 尿胰蛋白酶原2;急性胰腺炎;淀粉酶;脂肪酶

    The Role of Urinary Trypsinogen2 in Diagnosis of Acute Pancreatitis and Comparing with Amylase and Lipase

    LIU Hui

    (Wucheng Planned Parenthood Service station, Wucheng, Shandong 253300, China)

    Abstract:Objective To inverstigate the role of urinary trypsinogen2 in diagnosis of acute pancreatitis and comparing with amylase and lipase.Methods To measure urinary trypsinogen2 with immunochromatography,AMY with method by PNPG7,LIP with immunoprecipitation.48 patients with AP were measured three items when admitted to hospital.The control group contains patients without AP.Results Urinary trypsinogen2 of 58 patients with AP were positive.The sensitivity,specificity,positive predicting rate and negative predicting rate were 98.3%,92%,93.5%,97.9%.They are much higher than that of AMY and LIP.The difference between the AP group and control group has statistics significance.Conclusion Urinary trypsinogen2 has simple, quick and accurate advantage.It is a better maker for diagnosis of AP. ......

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