广州医药 ›› 2018, Vol. 49 ›› Issue (2): 67-69.DOI: 10.3969/j.issn.1000-8535.2018.02.017

• 论著 • 上一篇    下一篇

聚乙二醇筛查法应用于高泌乳素血症诊断中的临床意义

黄树芬   

  1. 广州市越秀区中医医院(广州 510030)
  • 收稿日期:2017-10-09 出版日期:2018-03-20 发布日期:2021-12-01

Clinical signification of the application of polyethylene glycol screening method on the diagnosis of hyperprolactinemia

HUANG Shufen   

  1. Guangzhou Yuexiu District Hospital of Traditional Chinese Medicine,Guangzhou 510030,China
  • Received:2017-10-09 Online:2018-03-20 Published:2021-12-01

摘要: 目的 探究聚乙二醇筛查法在高泌乳血症诊断中的临床意义。方法 选取260例HP患者作为观察组以及80例健康体检者作为对照组。应用雅培I2000全自动化学发光检测仪对两组标本进行PRL浓度测定,并将标本进行PEG筛查法沉淀后再次进行PRL浓度测定,将所得数据进行对比。结果 观察组检出MP67例,检出率25.77%,对照组检出MP3例,检出率3.75%,二者差异有统计学意义(P<0.05);HP组、MP组和对照组之间PEG沉淀前PRL浓度差异有统计学意义(P<0.05),沉淀后HP组和MP组以及对照组差异有统计学意义(P<0.05),MP组和对照组差异无统计学意义(P>0.05);MP在HP引起的各种临床疾病中检出情况差异无统计学意义(P>0.05)。结论 应用聚乙二醇筛查法对于排除MPRL对HP诊断的干扰具有可行性,对降低HP的误诊率有着重要的意义。

关键词: 巨泌乳素, 高泌乳素血症, 泌乳素, 聚乙二醇筛查法

Abstract: Objective To explore the clinical signification of polyethylene glycol screening method on the diagnosis of hyperprolactinemiat.Methods We selected 260 patients with hyperprolactinemia as observation group and 80 healthy individuals as control group. The two groups were measured with Abbott laboratories I2000 automatic chemiluminescence detector about the concentration of PRL. Then the groups were measured again after they were precipitated by the polyethylene glycol and the result data were analyzed.Results 78 cases of MP were checked out from the observation group and 3 cases were checked out from the control group. The proportion was 25.77% and 3.75% respectively, and the differences were statistically significant (P<0.05). The difference of the concentration of PRL before precipitated by PEG among the HP group, the MP group and the control group were statistically significant (P<0.05). After precipitating, the difference of the concentration of PRL between the HP group and the MP group were statistically significant (P<0.05), as well as the HP group and the control group. However, there was no difference between the MP group and the control group (P>0.05). The checking conditions of MP in some diseases caused by HP had no difference(P>0.05).Conclusion The use of polyethylene glycol screening method is a practicable method to eliminate the interference of MPRL on the diagnosis in HP. It has significance reducing misdiagnosis rate of HP.

Key words: Macroprolactin, Hyperprolactinemia, Prolactin, Polyethylene glycol screening method