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丙型肝炎病毒载量与核心抗原及丙氨酸转氨酶检测的比较研究
引用本文:宁发锦,姜春华,禤卫年.丙型肝炎病毒载量与核心抗原及丙氨酸转氨酶检测的比较研究[J].检验医学与临床,2011,8(2):162-163.
作者姓名:宁发锦  姜春华  禤卫年
作者单位:1. 广西中医学院第一附属医院检验科,南宁,530021
2. 广西壮族自治区南宁市第四人民医院肝病科,530023
摘    要:目的研究实时荧光定量PCR定量检测丙型肝炎病毒(HCV)RNA载量与HCV核心抗原和丙氨酸氨基转移酶(ALT)检测的相关性及符合性。方法逆转录-PCR荧光探针法定量检测94例怀疑HCV感染患者的血清HCV RNA,同时用酶联免疫吸附试验(ELISA)检测HCV核心抗原,全自动生化分析仪检测ALT水平。结果 94份样本中HCV RNA阳性率为56.4%(53/94),核心抗原阳性率为53.2%(50/94),经统计学分析,两种方法的阳性率差异无统计学意义(P>0.05),符合率为84.9%(45/53);ALT异常率为62.3%(33/53),并随HCV RNA载量的升高而增加。结论 HCV RNA定量检测及HCV核心抗原检测结合ALT结果分析有助于临床了解HCV在体内的复制水平和肝脏的炎性反应状态,指导临床用药及观察疗效。

关 键 词:RNA  病毒  丙型肝炎抗原  丙型肝炎  丙氨酸转氨酶  聚合酶链反应

Comparative study of quantitative detection of HCV RNA and detection of HCV core antigen and alanine aminotransferase
NING Fa-jin,JIANG Chun-hua,XUAN Wei-nian.Comparative study of quantitative detection of HCV RNA and detection of HCV core antigen and alanine aminotransferase[J].Laboratory Medicine and Clinic,2011,8(2):162-163.
Authors:NING Fa-jin  JIANG Chun-hua  XUAN Wei-nian
Institution:1.Department of Clinical Laboratory,First Affiliated Hospital,Guangxi College of Traditional Chinese Medicine,Nanning,Guangxi 530023,China;2.Department of Hepatology,Nanning Fourth People′s Hospital,Nanning,Guangxi 530023,China)
Abstract:Objective To investigate the relevance and compliance of quantitative detection of HCV RNA by real-time fluorescence PCR and detection of HCV core antigen and alanine minotransferase.Methods HCV RNA,HCV core antigen and ALT in serum of 94 patients with suspected HCV infection were detected separately by RT-PCR fluorescent probe assay,enzyme-linked immunosorbent assay and automatic biochemical analyzer.Results The positive rates of HCV RNA and HCV core antigen were 56.9%(53/94) and 53.2%(50/94) respectively....
Keywords:RNA  viral  Hepatitis C antigens  Hepatitis C  Alanine transaminse  Polymerase chain reaction  
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