血红蛋白与转铁蛋白联合检测在消化道出血疾病中临床价值研究.docVIP

血红蛋白与转铁蛋白联合检测在消化道出血疾病中临床价值研究 　　【摘要】 目的 探讨血红蛋白（Hb）法与转铁蛋白（Tf）法检测消化道出血性粪便标本的临床诊断符合率，研究Hb和Tf 联合检测的阳性率及其方法的互补性。方法 使用便隐血试纸条及转铁蛋白检测试纸条对61例消化道出血性疾病患者的粪便标本及20例无消化道出血性疾病粪便标本进行检测，评价两种方法单独检测与联合检测（或Hb或T f其中一项阳性即判断为阳性）的阳性率，并与化学法（匹拉米酮）比较。结果 联合检测阳性率：正常对照组5%，上消化道组60%，下消化道组67.7%，p0.05，消化道出血继发性贫血（简称贫血）组62.7%，非贫血组64.3%；单独检测人Hb阳性率：正常对照组为0%，上消化道组40%，下消化道组64.5%，P0.05，贫血组57。9%，非贫血组54.8%。结论 Hb/Tf联合检测比其单一检测对诊断消化道出血性疾病更具临床价值。 　　【关键词】 消化道出血；??红蛋白检测；转铁蛋白检测；联合检测 　　doi：10.3969/j.issn.1004-7484（x）.2012.08.042 文章编号：1004-7484（2012）-08-2438-03 　　The clinical value of the joint detection of hemoglobin and transferrin in the digestive tract bleeding disorders 　　XU Guo-sheng，CHEN Hui 　　1.Yonghe district of guangzhou city rose street community health service center of laboratory 511356； 　　2.Guangzhou City Development Zone，the functions of hospitals Branch Zip Code 510730 　　【Abstract】Objective To investigate the hemoglobin （Hb） method and transferrin protein （Tf） was detected by gastrointestinal bleeding stool specimens of clinical diagnosis coincidence rate，the joint detection of Hb and Tf-positive rate and its method of complementarity.Methods Will occult blood test strip and transferrin detection test strip on the stool specimens of 61 cases of gastrointestinal bleeding in patients with diseases and 20 cases of gastrointestinal bleeding disease stool specimens for testing and evaluation of two methods were tested alone，and the United detection （or Hb or T f one positive is judged to be positive） positive rate，and compared with the chemical method （horses Lamy ketone）.Results The testing positive rate： 5% of the normal control group，60% of the upper gastrointestinal group，the lower digestive tract group 67.7%，p0.05，gastrointestinal bleeding secondary anemia （referred to as anemia） Group 62.7%，non-anemia group was 64.3 %；separate detection of human Hb-positive rate： the normal control group was 0%，40% of the upper gastrointestinal group of lower gastrointestinal group 64.5%，P0.05，anemia group 57.9%，54