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血清HCVRNA荧光定量与丙型肝炎诊断意义
引用本文:郭振华,景涛,陈青锋,杨彦麟,肖萍.血清HCVRNA荧光定量与丙型肝炎诊断意义[J].中国公共卫生,2005,21(11):1367-1368.
作者姓名:郭振华  景涛  陈青锋  杨彦麟  肖萍
作者单位:1. 兰州大学第一医院传染病研究所,兰州,730002
2. 兰州大学
摘    要:目的探讨血清HCVRNA荧光定量在丙型肝炎诊断中的意义。方法采用ELISA法和荧光定量PCR法检测292例慢性丙肝患者抗-HCV和HCVRNA。结果抗-HCV及HCVRNA检出率分别为71.9%(210/292)和51.3%(150/292);抗HCV( )组和抗-HCV(-)组HCVRNA的检出率分别为75.9%(82/108)和10.5%(4/83)。结论抗HCV( )组HCVRNA检出率高于抗-HCV(-)组;血清HCVRNA荧光定量是临床诊断丙型肝炎的直接证据;抗-HCV诊断丙肝感染有漏诊现象。

关 键 词:荧光定量  丙型肝炎病毒核糖核酸  丙型肝炎  诊断
文章编号:1001-0580(2005)11-1367-02
收稿时间:2005-02-20
修稿时间:2005年2月20日

Significance of fluorescent quantitative serum HCVRNA and diagnoses in hepatitis C
GUO Zhenhua, JING Tao, CHEN Qingfeng.Significance of fluorescent quantitative serum HCVRNA and diagnoses in hepatitis C[J].Chinese Journal of Public Health,2005,21(11):1367-1368.
Authors:GUO Zhenhua  JING Tao  CHEN Qingfeng
Institution:Infection Diseases Institutes, the First Hospital of Lanzhou University, Lanzhou 730000, China
Abstract:Objective To explore the significance of serum levels of HCVRNA in hepatitis C diagnoses. Methods The anti-HCV was monitored by indirect enzyme-linked immunosorbent assay(ELISA)and serum levels of HCVRNA quantities were tested by fluorescent quantitative PCR(FQ-PCR)in 292 cases of chronic hepatitis C patients. Results The positive rates of anti-HCV and HCVRNA were 71.9%(210/292)and 51.3%(150/292),respectively.The rates of HCVRNA in positive anti-HCV group and negative group were 75.9%(82/108)and 10.5%(4/38),respectively. Conclusion The monitored rate of HCVRNA in positive antiHCV group patients is higher than that of negative group.Serum levels of HCVRNA by FQ-PCR quantities are one of the best direct marks in diagnoses for gepatitis C that could make up for the missed diagnoses with the mark of anti-HCV.
Keywords:fluorescent quantitative  HCV-RNA  hepatitis C  diagnosis
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