• 中国科学论文统计源期刊
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临床输血与检验 ›› 2018, Vol. 20 ›› Issue (2): 206-208.DOI: 10.3969/j.issn.1671-2587.2018.02.031

• 技术与方法 • 上一篇    下一篇

9例核酸反应性标本与对应ELISA、CLIA法检测HBV的关联分析

张毓, 孙国栋, 张丽, 王学刚   

  1. 056001 河北省邯郸市中心血站
  • 收稿日期:2017-10-15 出版日期:2018-04-20 发布日期:2018-04-25
  • 通讯作者: 孙国栋,女,主要从事血液安全和输血医学研究工作 ,(E-mail)sgd1997@126.com。
  • 作者简介:张毓(1984-),男,河北隆尧人,主管技师,学士,主要从事血液检测和输血医学研究工作,(Tel)15132018763(E-mail)zhangyu2043@163.com。

Correlation about the 9 Specimens of Nucleic Acid Reactive with the Corresponding ELISA Method,CLIA Method Detection of HBV

ZHANG Yu,SUN Guo-dong,ZHANG Li,et al   

  1. The Blood Center Of Handan, Handan, 056001
  • Received:2017-10-15 Online:2018-04-20 Published:2018-04-25
  • Contact: Correlation about the 9 Specimens of Nucleic Acid Reactive with the Corresponding ELISA Method,CLIA Method Detection of HBV

摘要: 目的 为保障临床输血的安全性,比较已知酶联免疫吸附试验(ELISA)、ALT阴性合并核酸检测(NAT)反应性标本与对应化学发光(CLIA)法检测HBV的结果,对三种检测方法进行相关性分析。 方法 对17 508例无偿献血者(排除ELISA法初复检公共阳性、ALT阳性等)进行NAT,并对NAT反应性标本进行CLIA检测。 结果 经核酸检测出9例HBV DNA反应性标本,未检出HCV RNA和HIV RNA反应性标本,其中1例为ELISA法“阴性高值”标本;对应CLIA法HBV “两对半” 检测出现2例HBsAg(-)抗-HBs(-)抗-HBc(+)及5例HBsAg(-)抗-HBs(+)抗-HBc(+)血清型,可能为OBI,2例均无反应性,可能为窗口期标本。 结论 无偿献血者的现有血液筛查方法NAT检测和ELISA法具有互补性,NAT检测可弥补ELISA法检测的“窗口期”问题; NAT与CLIA法检测结果具有一致性; OBI可能是本地区NAT检测HBV DNA献血者的主要类型;对可能影响血液质量的ELISA法“阴性高值”标本的淘汰,会降低输血感染风险。

关键词: 核酸检测, ELISA法, CLIA法, HBV

Abstract: 【Abstract】 Objective To ensure the safety of clinical blood transfusion,Comparison of known ELISA Detection,ALT negative combined with NAT detection of reactive specimens and the corresponding CLIA method to detect HBV were analyzed. The correlation of the three detection methods was analysed. Methods 17 508 cases of blood donors (excluding ones of the same positive in ELISA,ALT positive) were detected by NAT and CLIA. Results Nucleic acid was detected in 9 cases of DNA HBV reactive specimens,RNA HCV reactive specimens of 0 cases and 0 cases of RNA HIV reactive specimens. 1 case in ELISA method was "negative value" High specimens. In CLIA method HBV "two pairs of half" detection,7 cases of HBcAb reactivity,2 cases no response. Conclusion First,blood donors detect methods in NAT and ELISA method was complementary,NAT detection can make up the "window period" of ELISA method. Second,NAT and CLIA test results were consistent; Third,OBI may be the main types of HBV DNA NAT detected blood donors in Handan area. Fourth,to reduce blood transfusion infection risk,the "negative value" high specimen in ELISA,which affected the quality of blood,should not be used,

Key words: Nucleic acid detect, ELISA method, CLIA method, HBV

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