目的:依据受检者AMA-m^2检测结果分析判断AMA-m^2运用于原发性胆汁性肝硬化早期筛查的效果。方法:对我院体检中心体检的5400例研究对象进行血液检查,收集受检者清晨空腹静脉血,对分离出的血清进行AMA-m^2检测并分析受试者丙氨酸氨基转移酶、天门冬氨酸氨基转移酶等血清酶学检测数据。结果:5400例体检患者AMA-m^2检测中阳性患者有81例,阳性率为1.5%(81/5400),其中男性阳性34例(1.14%),女性阳性47例(1.94%),男女之间的阳性率具有统计学意义(χ-2=5.819,P〈0.05);45岁以下人群与46岁以上人群的AMA-m^2阳性率具有统计学意义(χ^2=10.473,P〈0.05);AMA-m^2检测高浓度组的各项血清酶指标阳性率均明显高于低浓度组(P〈0.05)。结论:AMA-m2阳性是进行PBC早期筛查的重要依据。
Objective: To determine the effect of AMA-m^2 on the early screening of primary biliary cirrhosis by AMA-m^2 test. Method: Blood tests were hcecked for 5400 subjects who came to our hospital physical examination center,was collected fasting venous blood,the serum was separated and examined with AMA-m-2,then alanine aminotransferase( ALT),aspartic acid aminotransferase detection data were analyzed. Result: The positive patients by AMA-m^2 test were 81 cases,the positive rate was 1.5%( 81 / 5400).34 males cases were positive( 1.14%),47 cases were positive for women( 1. 94%),the positive rate between men and women was statistical significant( χ^2= 5.819,P〈0.05); Positiue rate of people under the age of 45 and above the age of 46 had statistical significance( χ^2= 10.473,P〈0.05); The positive rate of serum enzyme indexes in high concentration group was significantly higher than that in low concentration group( P〈0.05). Conclusion: AMA-m^2 positive is an important basis index for early screening of PBC.