中国寄生虫学与寄生虫病杂志 ›› 1988, Vol. 6 ›› Issue (1): 44-47.

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日本血吸虫卵尿素溶解性抗原在诊断和考核疗效中的价值

黄民贵,蒋仲茵,王稚秋,李莉,钟桂华   

  1. 四川省医学科学院寄生虫病防治研究所
  • 收稿日期:2017-01-10 修回日期:2017-01-10 出版日期:1988-02-28 发布日期:2017-01-10

EVALUATION OF UREA-SOLUBLE EGG ANTIGEN (JEU) IN DIAGNOSIS AND ASSESSMENT OF CURE OF SCHISTOSOMIASIS JAPONICA

  • Received:2017-01-10 Revised:2017-01-10 Online:1988-02-28 Published:2017-01-10

摘要: 从提取日本血吸虫水溶性虫卵抗原(SEA)后的沉淀物中,加8M尿素提取尿素溶解性虫卵抗原(JEU)。用ELISA测定JEU与SEA,证明两者具有相似的敏感性和特异性,并在疗效考核和推广应用中获得满意结果。JEU抗原的成功利用,为血吸虫抗原的来源开辟了一条新途径,具有实用价值和经济效益。

关键词: 尿素溶解性抗原, 日本血吸虫卵, ELISA, 考核疗效, 血吸虫病流行区, 寄生虫病, 虫卵抗原, 防治研究, 阳性检出率, 特异性

Abstract: With a modified, simple method, JEU was extracted from the remaining residue after SEA extraction. The positive rate in 150 proved schistosomiasis japonica patients was 96% by ELISA using JEU, and the false positive rate in 129 normal persons was only 0.8%.To evluate the therapeutic effectiveness, 255 patients with negative stool hatching after treatment were repeatedly tested by ELISA using JEU for a period of one to five years. The negative conversion rate increased year by year. The negative rate was 93.4% in three years, and 100% in five years. The antibody titer decreased more significantly than the positive rate.when JEU was parallelly tested with ELISA and IHA using SEA and COP in a village where schistosomiasis had been controlled, there was no significant difference among ELISA and IHA but ELISA using JEU was much better than COP.The results suggest that JEU is a new type of antigen of practical use in the diagnosis and evaluation of therapeutic effectiveness.