论文部分内容阅读
应用纯培养菌制备标本,以生理盐水为空白对照,共检测117例,并试验了实际标本的处理方法。从PCR法、菌培养、凝集试验入选判别模型的顺序、真实性评价及ROC曲线面积大小比较3个诊断试验的判别能力的大小。结果表明,3个诊断试验均入选判别模型,它们对诊断霍乱的判别能力均显著,3个指标的入选顺序为:PCR试验→菌培养→凝集试验,第一个入选的指标是X1(PCR),其对判别函数的贡献最大,判别能力也最大,其次是菌培养,最后是凝集试验;以判别函数为标准,PCR试验的灵敏度及特异度均可达到100%,细菌培养灵敏度为100%,特异度为96.55%,假阳性率为3.45%;凝集试验灵敏度为64.77%,特异度为96.55%,假阳性率为3.45%,假阴性率为35.23%,3种试验的真实性评价表明PCR试验的真实性高于其他两个试验;3种试验的ROC曲线面积由大到小顺序是:PCR试验(0.9617)>菌培养(0.9596)>凝集试验(0.6334),故诊断霍乱的判别能力由大到小的顺序是:PCR试验>菌培养>凝集试验。PCR试验的判别能力大于菌培养、凝集试验
The pure culture bacteria were used to prepare the specimens, and saline was used as the blank control. A total of 117 specimens were tested and the actual specimens were tested. The order of the discriminant models, the authenticity evaluation and the size of the ROC curve area were compared by PCR method, bacterial culture and agglutination test to compare the discriminatory power of three diagnostic tests. The results showed that all the three diagnostic tests were included in the discriminant model. All of them were significant in discriminating the diagnosis of cholera. The order of the three indexes was PCR test → bacterial culture → agglutination test. The first selected index was X1 (PCR) , Which has the largest contribution to the discriminant function and has the highest discrimination ability, followed by the bacterial culture and finally the agglutination test. With the discriminant function as the standard, the sensitivity and specificity of the PCR test can reach 100%, the sensitivity of the bacterial culture is 100% The specificity was 96.55%, the false positive rate was 3.45%. The agglutination test was 64.77%, the specificity was 96.55%, the false positive rate was 3.45%, the false negative rate was 35.23 %. The authenticity evaluation of the three tests showed that the PCR test was more truthful than the other two tests. The order of the ROC curves of the three tests was: PCR test (0.9617)> bacterial culture (0.9596 )> Agglutination test (0.6334), so the diagnostic ability of cholera from large to small Shun They are: PCR Test> bacterial culture> agglutination test. PCR test discrimination ability than bacterial culture, agglutination test