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HBV-LP检测在慢性乙型肝炎患者抗病毒治疗中的应用
引用本文:巫开文,李国春,周镇先,夏敦年.HBV-LP检测在慢性乙型肝炎患者抗病毒治疗中的应用[J].国际检验医学杂志,2012,33(13):1556-1558.
作者姓名:巫开文  李国春  周镇先  夏敦年
作者单位:1. 江苏省南京市级机关医院检验科,210018
2. 江苏省南京市第二医院检验科,210003
摘    要:目的 探讨乙型肝炎病毒外膜大蛋白(HBV-LP)检测在慢性乙型肝炎患者抗病毒治疗中的应用价值.方法 对抗病毒治疗有效并-70 ℃冻存的56例慢性乙型肝炎患者系列血清做HBV-LP、雅培(ABBOTT)乙型肝炎两对半和HBV DNA定量检测.结果 在56例抗病毒治疗有效病例中,HBeAg阳性组的HBV-LP的A值为1.11±0.40,阴性组的A值0.561 6±0.21,差异有统计学意义.56例干扰素治疗有效病例的HBV-LP和HBV DNA随用药时间的同时下降,两者有很好的相关性,P=0.023 2,r2=0.860 3.结论 HBV-LP可作为判断慢性乙型肝炎抗病毒较为可靠的指标,尤其在HBeAg阴性的乙型肝炎患者进行抗病毒治疗时更具有重大意义.

关 键 词:肝炎  乙型  外膜大蛋白  DNA  病毒  血清标志物

Value of HBV-LP in patients with chronic hepatitis B receiving antivirus treatment
Wu Kaiwen , Li Guochun , Zhou Zhenxian , Xia Dunnian.Value of HBV-LP in patients with chronic hepatitis B receiving antivirus treatment[J].International Journal of Laboratory Medicine,2012,33(13):1556-1558.
Authors:Wu Kaiwen  Li Guochun  Zhou Zhenxian  Xia Dunnian
Institution:1.Nanjing Governmental Hospital,Nanjing,Jiangsu 210018,China;2.The Second Hospital of Nanjing City,Nanjing,Jiangsu 210003,China)
Abstract:Objective To investigate the clinical value of hepatitis B virus-large surface protein(HBV-LP) in patients with chronic hepatitis B(CHB) receiving antivirus treatment.Methods Serum samples,frozen at-70 ℃ and detected from 56 cases of patients with CHB receiving valid antivirus treatment,were detected for HBV-LP,HBV surface antigen(HBsAg),HBV surface antibody(HBsAb),HBV e antigen(HBeAg),HBV e antibody(HBeAb),HBV core antibody(HBcAb),and HBV DNA.Results The mean of A value of HBV-LP in HBeAg positive group was higher than HBeAg negative group(1.11±0.40 vs 0.561 6±0.21,P<0.05).Level of HBV-LP and HBV DNA decreased after antivirus treatment.Level of HBV-LP was positively correlated with HBV DNA(r2=0.860 3,P<0.05).Conclusion HBV-LP might be useful for evaluating the efficacy of antivirus treatment for CHB,especially in patients negative with HBeAg.
Keywords:hepatitis B  large surface protein  DNA  virus  serum marker
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