关键词: 并殖吸虫病, 卫氏并殖吸虫, 酶联免疫吸附试验, 敏感性, 特异性, 约登指数, 效果评价

Abstract: Objective Objective To evaluate the effects of 3 kinds of ELISA reagents on the detection of human paragonimiasis. Meth Meth? ? ods ods A total of 45 serum samples from patients with paragonimiasis，218 serum samples from patients with other parasitic dis? eases as well as 80 serum samples from healthy people were detected by GD?ELISA（IgG antigen ELISA detection reagent），ES? ELISA（using excretory/secretory（ES）products of Paragonimus westermani），and sAg?ELISA（using semi ?purified antigen （sAg）of P. westermani），respectively. The effects of the 3 reagents were evaluated and compared. Results Results The sensitivities of GD?ELISA，ES?ELISA，and sAg?ELISA were 95.6%（95% CI：89.6%～100.0%），93.3%（95% CI：86.0%～100.0%）and 86.7%（95% CI：76.8%～96.6%），respectively；the specificities of the above three reagents were 88.6%（95% CI：85.0%～ 92.2%），88.9% （95% CI：85.3%～92.5%）and 99.0 %（95% CI：97.9%～100.0%），respectively，and the Youden indexes of them were 0.84，0.82 and 0.86，respectively. Conclusion Conclusion sAg?ELISA is more suitable than GD?ELISA and ES?ELISA for clin? ical sample tests in paragonimiasis endemic areas in China.

Key words: Paragonimiasis, Paragonimus westermani, Enzyme?linked immunosorbent assay（ELISA）, Sensitivity, Speci? ficity, Youden index, Effect evaluation