摘要
目的探讨实时荧光定量PCR检测不同血清标志物模式的乙型肝炎患者的血清HBVDNA含量的特点。方法应用ELISA对512例病人血清中乙型肝炎血清标志物进行检测,同时用实时荧光定量PCR检测标本中HBVDNA的含量,分别统计每组的HBVDNA阳性例数及其阳性率,用u检验进行统计学处理。结果HBsAg(+)/HBeAg(+)/抗HBc㈩组168例,HBVDNA阳性161例,占95.8%;HBsAg(+)/抗HBe(+)/抗HBc(+)组163例,HBVDNA阳性51例,占31.3%;HBsAg(+)/抗HBc(+)组181例,HBVDNA阳性94例占51.9%;三组之间互相比较差异均有显著性(P〈0.001)。结论HBsAg(+)/HBeAg(+)/抗HBc(+)组中HBV复制最活跃,实时荧光定量PCR检测HBVDNA比血清标志更能反映乙型肝炎病毒存在与复制情况。
Objective To investigate the characteristics of sertma HBV DNA content through detecting the diffent serum markers of hepatitis B using the method of the real-time fluorescence quantitative PCR.Methods 512 cases of hepatitis B serum markers were detected with ELISA, and simtdtaneously use the real-time fluorescence quantitative PCR to detect HBV DNA content in the serum. Statistics for each group of HBV DNA-positive cases and its positive rate (%) were separately done.u test were used for the statistical treatment.Results HBsAg (+) / HBeAg (+) / anti-HBc (+) group has 168 cases, HBV DNA positive has 61 cases (95.8%); HBsAg (+) / anti-HBe (+) / anti-HBc (+) group has 163 cases,FIBV DNA positive has 51 cases (31.3%); HBsAg (+) / anti-HBc (+) group has 181 cases,HBV DNA positive has 94 cases (51.9%). Comparisons among three groups were significantly different (P 〈 0.001).Conclusions The reproduction of HBV in the HBsAg (+) / HBeAg (+) / anti-HBc (+) group were the most active.Real-time fluorescence quantitative PCR detection ofHBV DNA is the better method to reflect the existence and the reproduction of hepatitis B virus than Serological markers.
出处
《国际医药卫生导报》
2009年第15期86-87,95,共3页
International Medicine and Health Guidance News