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HBV前S1抗原与HBV DNA联合检测的临床意义
引用本文:李小月,张祖平,李宗光,丁丰,郑辉,李静,徐元宏,沈继龙.HBV前S1抗原与HBV DNA联合检测的临床意义[J].临床输血与检验,2011,13(1):25-27.
作者姓名:李小月  张祖平  李宗光  丁丰  郑辉  李静  徐元宏  沈继龙
作者单位:1. 安徽省安庆市立医院检验科,246003
2. 安庆市立医院输血科
3. 安徽省立医院检验科
4. 安徽省立医院脑研所
5. 安徽医科大学第一附属医院检验科
6. 安徽医科大学病原生物学教研室
摘    要:目的探讨乙型肝炎病毒前S1抗原(HBV pre-Sl)、HBV DNA与HBV表面标志物(HBV-M)的关系。方法从临床乙型肝炎标本中筛出HBsAg阳性病例329例,采用ELISA法检测乙肝血清标志物和前S1抗原,荧光定量PCR法检测标本HBV DNA。结果血清HBeAg抗原阳性组,HBV DNA和pre-Sl的阳性率分别为97.2%和90.0%,而HBeAg抗原阴性组的HBV DNA与pre-Sl阳性率分别为42.9%和37.0%,HBeAg阳性患者血清的HBV DNA与pre-Sl的阳性检出率明显高于HBeAg阴性患者。结论 HBV pre-Sl和HBV DNA在各组中阳性检出率有较高的一致性,pre-Sl在一定程度上可替代HBV DNA。pre-Sl与乙肝血清标志物联合检测能为乙肝患者病毒复制、肝功能损伤提供有价值的实验室依据,同时有助于慢性乙肝患者疗效考核和预后判断。

关 键 词:乙型肝炎病毒  血清免疫标志物  荧光定量聚合酶链反应  HBV  DNA  前S1抗原  

The Clinical Significance of Detection of HBV Pre-S1 Combination with HBV DNA in Patients with Hepatitis B Virus Infection
LI Xiao-yue,ZHANG Zu-ping,LI Zong-guang,et al..The Clinical Significance of Detection of HBV Pre-S1 Combination with HBV DNA in Patients with Hepatitis B Virus Infection[J].Journal of Clinical Transfusion and Laboratory Medicine,2011,13(1):25-27.
Authors:LI Xiao-yue  ZHANG Zu-ping  LI Zong-guang  
Institution:LI Xiao-yue,ZHANG Zu-ping,LI Zong-guang,et al.Department of Laboratory,Anqing Municipal Hospital,Anqing 246003
Abstract:Objective To study the correlations between pre-Sl antigen,HBV DNA,hepatitis B virus(HBV) serum markers in patients with chronic hepatitis B.Methods The HBV markers,pre-Sl antigen and HBV DNA were determined using enzyme-linked immunosorbent assay and quantitative PCR in 329 patients with chronic hepatitis B.Results The positive rates of serum HBV DNA and pre-Sl-antigen were 97.2% and 90.0% respectively in HBeAg-positive patients.The positive rates of HBV DNA and pre-Sl-antigen were 42.9% and 37.0% respecti...
Keywords:Hepatitis B virus Serum immunological marker Fluorescent quantitative PCR HBV DNA Pre-Sl antigen  
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