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HBeAg阴性的慢性HBV感染者乙肝病毒前C区G1896A变异分析
引用本文:张委,江培学,康熙雄. HBeAg阴性的慢性HBV感染者乙肝病毒前C区G1896A变异分析[J]. 中国卫生检验杂志, 2011, 0(9)
作者姓名:张委  江培学  康熙雄
作者单位:北京市海淀医院检验科;上海复星医学科技发展有限公司;首都医科大学北京天坛医院;
摘    要:
目的:了解HBeAg阴性的慢性HBV感染者乙肝病毒前C区G1896A变异情况,为临床乙肝诊治提供科学依据。方法:北京市海淀医院HBeAg阴性的慢性HBV感染者496例,其中HBeAg阴性慢性乙型肝炎患者380例,非活动期HBV感染者196例,取血液及肝组织样本进行HBV血清学标志检测(HBsAg、抗-HBs、HBeAg、抗-HBe和抗-HBc)、丙氨酸谷丙转移酶(ALT)、HBV DNA定量检测;HBV前C区G1896A变异检测;肝组织学检查;采用SPSS13.0软件进行数据分析。结果:两组患者血清中均检测到HBV DNA,其中HBeAg阴性慢性乙型肝炎患者组检出率100%(296/296),平均值为4.90±1.49log10拷贝数/毫升,非活动期HBV感染者组检出率42.0%(84/200)平均值为3.22±0.59 log10拷贝数/毫升,两组比较HBV DNA载量差异有显著性;在HBV DNA载量>1000拷贝/ml的病例中HBeAg阴性慢性乙型肝炎组的乙肝病毒存在前C区G1896A变异,发生率为83.8%(248/296),非活动期HBV感染组乙肝病毒前C区G1896A也存在变异,发生率为33.3%...

关 键 词:乙型肝炎病毒  前C区  G1896A变异  

Analysis of hepatitis B virus pre-C G1896A mutation in person with BeAg-negative chronic HBV infection
ZHANG Wei,JIANG Pei-xue,KANG Xi-xiong. Analysis of hepatitis B virus pre-C G1896A mutation in person with BeAg-negative chronic HBV infection[J]. Chinses Journal of Health Laboratory Technology, 2011, 0(9)
Authors:ZHANG Wei  JIANG Pei-xue  KANG Xi-xiong
Affiliation:ZHANG Wei1,JIANG Pei-xue2,KANG Xi-xiong3(1.Beijing Haidian Hospital Laboratory,Beijing 100080,China,2.Shanghai Fosun Medical Technology Development Co.,Ltd,Shanghai,200233,3.Beijing Tiantan Hospital Affiliated to Capital Medical University,Beijing 100050,China)
Abstract:
Objective: To understand hepatitis B virus pre-C G1896A mutation in the HBeAg-negative chronic HBV infection patients and provide scientific basis for clinical treatment of hepatitis B.Methods: 496 cases of HBeAg-negative chronic HBV infection,including 380 cases with HBeAg-negative chronic hepatitis B and 196 cases of non-active HBV infection were selected as test samples.Blood and liver tissue samples were conducted serological diagnosis of HBV infection(HBsAg,anti-HBs,HBeAg,anti-HBe and anti-HBc),alanine...
Keywords:Hepatitis B virus  Pre-C  G1896A mutation  
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