检验医学 ›› 2017, Vol. 32 ›› Issue (11): 1021-1023.DOI: 10.3969/j.issn.1673-8640.2017.011.018

• 临床应用研究_论著 • 上一篇    下一篇

中枢神经特异蛋白对检测老年性痴呆的临床价值

凌迎春, 周月琴, 段迪, 胡玲敏   

  1. 绍兴市第七人民医院检验科,浙江 绍兴 312000
  • 收稿日期:2017-06-07 出版日期:2017-11-30 发布日期:2017-12-07
  • 作者简介:null

    作者简介:凌迎春,女,1978年生,副主任技师,主要从事中枢神经特异蛋白检测对老年性痴呆方面的作用研究。

Determination of central nervous system specific protein for senile dementia

LING Yingchun, ZHOU Yueqin, DUAN Di, HU Lingmin   

  1. Department of Clinical Laboratory,the Seventh People's Hospital of Shaoxing,Shaoxing 312000,Zhejiang,China
  • Received:2017-06-07 Online:2017-11-30 Published:2017-12-07

摘要:

目的 分析中枢神经特异蛋白(s100β蛋白)对检测老年性痴呆的临床价值。方法 选取300例老年性痴呆患者作为观察组,另选取200名同期、同年龄段体检健康者作为对照组,采集2个组血液标本,并应用酶联免疫吸附试验(ELISA)检测2个组血清s100β蛋白水平,应用简易精神状态量表(MMSE)评价2个组认知功能,并分析s100β蛋白与患者MMSE评分间的关系。结果 观察组血清中s100β蛋白水平为(82.07±11.58)pg/mL,明显高于对照组(49.16±2.23)pg/mL(P<0.05);s100β蛋白在老年性痴呆检测中的灵敏度为71.35%,特异度为84.67%;观察组的MMSE评分[(15.93±4.68)分]明显低于对照组[(26.17±3.02)分](P<0.05);s100β蛋白与MMSE评分呈负相关[相关系数(r)=-0.276,P<0.05]。结论 s100β蛋白在老年性痴呆检测中的灵敏度及特异度均较高,其血清水平越高者,痴呆程度往往越严重,可作为临床辅助诊断老年性痴呆的指标。

关键词: 中枢神经特异蛋白, 老年性痴呆, 酶联免疫吸附试验

Abstract:

Objective To evaluate the role of central nervous system specific protein(s100β protein) determination in senile dementia. Methods A total of 300 patients with Alzheimer's disease were enrolled,and 200 healthy subjects with same age were enrolled as healthy control group. Their blood samples were collected,and serum s100β protein levels were determined by enzyme-linked immunosorbent assay(ELISA). The cognitive function was evaluated by mini-mental state examination(MMSE),and the relationship between s100β protein and MMSE score was evaluated. Results The level of serum s100β protein in observation group was(82.07±11.58)pg/mL,and it was higher than that in healthy control group [(49.16±2.23)pg/mL,P<0.05]. The sensitivity of s100β protein determination was 71.35%,and the specificity was 84.67%. The MMSE score in observation group was 15.93±4.68,and it was lower than that in healthy control group(26.17±3.02,P<0.05). There was a negative correlation between s100β protein and MMSE score [correlation coefficient(r)=-0.276,P<0.05]. Conclusions The determination of s100β protein for senile dementia has high sensitivity and specificity. The higher serum s100β protein level is,more serious the degree of senile dementia is. It can be used for the auxiliary diagnosis of senile dementia.

Key words: Central nervous system specific protein, Senile dementia, Enzyme-linked immunosorbent assay

中图分类号: