粪便隐血试验和转铁蛋白联合检测在诊断消化性出血中的意义

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Abstract Objective To investigate the significance of fecal occult blood test combined transferrin detection in the diagnosis of digestive hemorrhage.Methods A total of 81 patients with digestive hemorrhage who were treated in our hospital from September 2016 to September 2017 were randomly selected as observation group.According to the location of the hemorrhage,they were divided into the upper gastrointestinal bleeding group (51 cases)and the lower gastrointestinal bleeding group(30 cases),and 60 patients who had a health examination in our hospital during the same period were selected as the control group.The diagnostic significance of fecal occult blood test and transferritin detection was determined by endoscopy and histopathological examination.Results The positive rate of upper gastrointestinal bleeding was 47.06%with fecal occult blood test,and the positive rate of transferrotein detection was 50.98%,both of which were significantly lower than the joint test(84.31%),with a statistical difference(P<0.05).The positive rate of fecal occult blood test in the lower gastrointestinal bleeding group was 56.67%.The positive rate of transferrotein detection was 63.33%,both of which were significantly lower than the joint test(86.67%),with a statistical difference(P<0.05).Fecal occult blood test alone the detection sensitivity was 50.62%,transferrin separate detection sensitivity was 55.56%,the two groups were significantly lower than 85.19%of joint detection,with a statistical difference(P<0.05).The specificity of the three methods were 98.33%.Conclusion The fecal occult blood test combined with transferrotein test for diagnosis and diagnosis of gastrointestinal hemorrhage has high diagnostic accuracy,high sensitivity and specificity,which is beneficial to the early diagnosis and treatment of patients,and it is worthy of clinical application.

Key words： Fecal occult blood experiment Transferrin Gastrointestinal bleeding Diagnose

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	TAN Luo-kun
	LUO Hai-shun
	WU Shang-jian
	LI Cui-ye

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TAN Luo-kun,LUO Hai-shun,WU Shang-jian, et al. The significance of fecal occult blood test combined transferrin detection in the diagnosis of digestive hemorrhage[J]. 中国当代医药, 2018, 25(21): 137-139.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I21/137

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