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荧光定量PCR检测乙型肝炎患者血清中HBV DNA的临床意义
引用本文:张阳根,张横,徐忠玉,张德慧.荧光定量PCR检测乙型肝炎患者血清中HBV DNA的临床意义[J].医学研究生学报,2001,14(Z1):13-15.
作者姓名:张阳根  张横  徐忠玉  张德慧
作者单位:解放军第一七五医院检验科,福建漳州,363000
摘    要:目的检测乙型肝炎患者血清中乙型肝炎病毒(HBV)DNA的含量,了解其与免疫学指标的关系。方法采用荧光定量PCR技术和ELISA法,分别检测287例乙型肝炎患者血清中HBVDNA含量和免疫学指标。结果287例乙型肝炎患者血清中检出HBVDNA199例,阳性率为69.34%(199/287);144例HBsAg、HBeAg、抗HBc三项阳性的血清,其血清中HBVDNA也全部阳性;而HBsAg、抗HBe、抗HBc三项阳性和HBsAg、抗HBc二项阳性的标本,HBVDNA的检出率分别38.9%(42/108)和37.1%(13/35)。结论乙型肝炎患者血清中HBVDNA的拷贝数与HBeAg密切相关,但系统转换不能说明HBV停止复制,而只是复制水平的降低而已。

关 键 词:荧光定量  PCR技术  HBVDNA  免疫学指标
文章编号:1008-8199(2001)增刊-0013-02
修稿时间:2000年12月20

Determination of serum HBV DNA by fluorescence quantitative PCR in patients with hepatitis B and its clinical application
ZHANG Yang-gen,ZHANG Heng,XU Zhong-yu,ZHANG De-hui.Determination of serum HBV DNA by fluorescence quantitative PCR in patients with hepatitis B and its clinical application[J].Bulletin of Medical Postgraduate,2001,14(Z1):13-15.
Authors:ZHANG Yang-gen  ZHANG Heng  XU Zhong-yu  ZHANG De-hui
Abstract:Objectives:To study the relationship between the amount of serum HBV DNA and immune indexes by fluorescence quantitative PCR(FQ PCR) technique. Methods:FQ PCR technique and ELISA method were used to detect HBV DNA contents and immune indexes in 287 patients with hepatitis B. Results: HBV DNA were found in 199 cases from 287 patients with hepatitis B, the positive rate was 69.3%(199/258).In 144 HBsAg +HBeAg +/HBcAb + samples, FQ PCR results were positive, but in HBsAG +/HBeAb +/HBcAb + and HBsAg +/HBcAb + samples, the positive rate of FQ PCR were 38.9%(42/108) and 37.1%(13/35) respectively. Conclusions:The average levels of serum HBV DNA was closely correlated with HBeAg in hepatitis B patients. Changes of the system indicated reduction but not cessation of amplification.
Keywords:Fluoresence quantitative  PCR  HBV DNA  Immune indexes
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