1, 3-β-D-葡聚糖试验、半乳甘露聚糖试验及痰培养诊断肺曲霉菌感染比较

Comparison of 1, 3-β-D-glucose test, galactomannan test and sputum culture in the diagnosis of patients with pulmonary aspergillosis

  • 摘要: 目的 分析肺曲霉菌感染患者应用1, 3-β-D-葡聚糖试验(G试验)、半乳甘露聚糖试验(GM试验)以及痰培养试验的临床价值。 方法 选取疑似感染肺曲霉菌的9 005例患者,均采用GM、G试验及痰培养3种方法检测肺曲霉菌,对检测结果进行分析。 结果 肺泡灌洗G试验与血清G试验的检测准确率比较,差异无统计学意义(P>0.05); 肺泡灌洗GM试验与血清GM试验的检测准确率比较,差异无统计学意义(P>0.05); 血清G试验的准确度显著高于血清GM试验(P<0.05)。 结论 血清G试验操作简便,能够有效检测出肺部曲霉菌感染。

     

    Abstract: Objective To analyze the clinical values of 1, 3-β-D-glucose test(G test), galactomannan test(GM test)and sputum culture test in diagnosis of patients with pulmonary aspergillus. Methods A total of 9 005 patients with suspected pulmonary aspergillus were selected and conducted with GM test, G test and sputum culture, and the results of tests were analyzed. Results There was no significant difference in the detection accuracy between alveolar lavage G test and serum G test(P>0.05). There was no significant difference in the detection accuracy between alveolar lavage GM test and serum GM test(P>0.05). The accuracy of serum G test was significantly higher than that of serum GM test(P<0.05). Conclusion The serum G test is easy to operate, and it can effectively detect pulmonary aspergillus.

     

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