老年患者梅毒螺旋体抗体呈阳性的临床分析.docVIP

老年患者梅毒螺旋体抗体呈阳性的临床分析 　　doi：10.3969/j.issn.1007-614x.2014.15.80 　　摘 要 目的：探讨老年患者梅毒螺旋体抗体呈阳性的临床意义。方法：2008年4月-2013年12月收治梅毒螺旋体抗体阳性患者77例，均采用双抗原夹心酶联免疫法（ELISA法）进行检测。结果：青年组842例，梅毒螺旋体抗体阳性10例，阳性检查率1.19%，占阳性例数的12.99%；中年组989例，梅毒螺旋体抗体阳性21例，阳性检查率2.12%，占阳性例数的27.27%；老年组1 035例，梅毒螺旋体抗体阳性46例，阳性检查率4.44%，占阳性例数的59.74%。老年组明显高于中青年组（P0.05）。青年组10例中有梅毒症状8例，中年组21例有梅毒症状12例，老年组46例有梅毒症状3例，老年组明显低于中青年组（P0.05）。结论：对于梅毒抗体阳性的老年患者，要重点结合临床进行诊断，不能单纯依据血清学检查来确诊。 　　关键词 梅毒螺旋体 老年 抗体 　　Clinical analysis on elderly patients with treponema pallidum antibody positive 　　Zhang Yingchun 　　The Peoples Hospital of Guazhou County，Gansu 736100 　　Abstract Objective：To investigate the clinical significance of treponema pallidum antibody positive in elderly patients.Methods：77 cases with treponema pallidum antibody positive were selected from April 2008 to December 2013.All cases were detected used a double antigen sandwich enzyme linked immunosorbent assay（ELISA method）.Results：In 842 cases of the young group，10 cases with treponema pallidum antibody positive，and the positive rate was 1.19%，accounting for 12.99% of the number of positive cases.In 989 cases of the middle-aged group，21 cases with treponema pallidum antibody positive，and the positive rate was 2.12%，accounting for 27.27% of the number of positive cases.In 1035 cases of the elderly group，46 cases with treponema pallidum antibody positive，and the positive rate was 4.44%，accounting for 59.74% of the number of positive cases.The positive rate in the elderly group was higher than in the young group（P0.05）.Among 10 cases with positive treponema pallidum antibody in the youth group，there were 8 cases had syphilis symptom.Among 21 cases in the middle-aged group，there were 12 cases had syphilis symptom.Among 46 cases in the elderly group，there were 3 cases had syphilis symptom.It was significantly lower in the elderly group than in the young group.Conclusion：When diagnosing elderly patients who with positive syphilis antibody，we should combine with the clinical