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乙肝患者前S1抗原HBV-DNA及血清标志物的关系探讨
引用本文:冯新国,欧阳淑兰.乙肝患者前S1抗原HBV-DNA及血清标志物的关系探讨[J].现代医药卫生,2011,27(16):2415-2416.
作者姓名:冯新国  欧阳淑兰
作者单位:株洲市三三一医院检验科,湖南株洲,412002
摘    要:目的:探讨乙肝患者前S1抗原与血清标志物和HBV-DNA的关系,及对乙肝的诊疗价值.方法:用酶联免疫法(ELISA)检测283例乙肝血清HBV-M和PreS1-Ag,用荧光定量PCR法同时检测HBV-DNA.结果:对乙肝血清标志物5种模式进行分析,模式①中PreS1-Ag的阳性率(72.9%)和HBV-DNA的阳性率(95.8%)高于模式②中PreS1-Ag的阳性率(37.7%)和HBV-DNA的阳性率(40.6%),两种模式间差异有统计学意义(P<0.01).128例PreS1-Ag阳性患者中HBV-DNA阳性率78.1%(100/128),HBeAg阳性率为54.7%(70/128),两者差异有统计学意义(P<0.01).结论:PreS1-Ag与HBV-DNA在反映不同血清型乙肝病毒的复制方面一致性较好;尤其是HBeAg阴性的乙肝患者,检测血清PreS1-Ag和HBV-DNA在乙肝诊断和治疗中具有重要临床意义.

关 键 词:乙型肝炎病毒DNA  乙型肝炎e抗原  乙型肝炎前S1抗原  乙肝血清模式

Relations between Pre-S1 antigen with HBV-DNA and serum markers in hepatitis B patients
FENG Xin-guo , OUYANG Shu-lan.Relations between Pre-S1 antigen with HBV-DNA and serum markers in hepatitis B patients[J].Modern Medicine Health,2011,27(16):2415-2416.
Authors:FENG Xin-guo  OUYANG Shu-lan
Institution:FENG Xin-guo,OUYANG Shu-lan(Department of Laboratory,Zhuzhou 331 Hospital,Zhuzhou,Hunan4129002,China)
Abstract:Objective:To analyze the relations between Pre-S1 antigen(PreS1-Ag) with serum markers and HBV-DNA in hepatitis B patients,and to investigate their diagnosis and treatment value to hepatitis B.Methods:283 patients with hepatitis B were tested for serum HBV-M and PreS1-Ag by ELISA and HBV-DNA by the fluorescence-assay PCR.Results:The 5 kinds of HBV serum markers mode were analyzed.In mode 1,the positive rates of PreS1-Ag and HBV-DNA were 72.8% and 95.09% respectively.In mode 2,the positive rates of PreS1-Ag ...
Keywords:HBV-DNA  Hepatitis B e Antigens  Hepatitis B PreS1-Antigens  hepatitis B serum mode  
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