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乙型肝炎病毒DNA检测与其血清标志物的相关性
引用本文:梁亚莉,王卫萍,唐风,邵海枫,史利宁,胡毓安,陈勇.乙型肝炎病毒DNA检测与其血清标志物的相关性[J].中国热带医学,2009,9(12):2224-2224,2266.
作者姓名:梁亚莉  王卫萍  唐风  邵海枫  史利宁  胡毓安  陈勇
作者单位:1. 南京军区南京总医院临床中心实验科,江苏,南京,210002;扬州友好医院检验科,江苏,扬州,225261
2. 南京军区南京总医院临床中心实验科,江苏,南京,210002
摘    要:目的探讨实时荧光聚合酶链反应(FIQ—PCR)检测HBV—DNA与乙型肝炎病毒五项血清标志物(HBV—M)的关系。方法采用FO—PCR技术和酶联免疫吸附法(ELISA)分别检测637例患者血清中的HBV—DNA拷贝数和乙肝五项血清标志物。结果HBV—DNA在“大三阳”组(HBsAg+HBeAg+抗HBc+和HBsAg+HBeAg+)和“小三阳”组(HBsAg+抗HBe+抗HBc+和HBsAg+抗LHBc+)可检出,在“单纯抗体阳性”组(抗HBs+抗HBe+抗HBc+、抗HBs+抗HBc+、抗HBs+抗HBe+、抗HBs+、抗HBe+抗HBc+及抗HBc+)未捡出。“大三阳”组患者血清中HBV—DNA检出率为92.13%。且82.68%的患者HBV—DNA拷贝数在105copies/ml以上;“小三阳”组患者血清中HBV—DNA检出率为44.39%,HBV—DNA拷贝数分布范围广。结论HBeAg的存在可间接反映HBV在体内的复制状态,而HBV—DNA的检测更客观地反映了HBV复制的程度和传染性。

关 键 词:乙型肝炎病毒血清标志物(HBV—M)  HBV—DNA  实时荧光聚合酶链反应(FQ—PCR)  酶联免疫吸附试验(EUSA)

Correlation of HBV-DNA detection and HBV serological markers
Institution:LIANG Ya-li, WANG Wei -ping, TANG Feng, et al.(Institute of Chnical Laboratory Medicine,Nanjing General Hospital of Nanjing Mihtary Garrison,Nanjing 210002,P.R. China )
Abstract:Objective To investigate the relationship between HBV-DNA detection and HBV serological markers. Methods The content of HBV-DNA and serological markers of HBV were detected with real-time. FQ-PCR and ELISA respectively. Results HBV-DNA was detected from groups positive for HBsAg,HBeAg,HBcAb and HbsAg, HBeAb and HBcAb,ant it was not detected in other groups. The positive rate of detectable HBV-DNA in groups positive for HBsAg positive,HbeAg,HbcAb was 92.13%. The positive rate of detectable HBV-DNA in groups positive for HbsAg, HbeAb,HBcAb was 44.39%. Conclusions The detection of HBV-DNA indirectly indicates the status of infection, replication.
Keywords:HBV-DNA
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