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联合检测血清标志物、ALT和HBV-DNA对乙型肝炎患者诊疗的临床意义

李文楷 丁波 魏容 蒲泽晏 赵其林

四川医学2013,Vol.34Issue(1):154-156,3.
四川医学2013,Vol.34Issue(1):154-156,3.

联合检测血清标志物、ALT和HBV-DNA对乙型肝炎患者诊疗的临床意义

The clinical significance of serum markers, ALT and HBV-DNA in patients with hepatitisclinical significance.

李文楷 1丁波 1魏容 1蒲泽晏 1赵其林1

作者信息

  • 1. 遂宁市中心医院检验科,四川,遂宁,629000
  • 折叠

摘要

Abstract

Objective By combined detection of hepatitis B virus serum markers, ALT and HBV-DNA to analyze the correlation of the three. Methods Using ELISA, fluorescence quantitative polymerase chain reaction (FQ-PCR) and IFCC double reagent enzymatic method to detect HBV serum markers (HBsAg, HBsAb, HBeAg, HBeAb, HBcAb) , HBV-DNA load and ALT level in 682 cases of patients with hepatitis B. Results In the 682 cases of hepatitis B patients, 373 cases HBV-DNA were positive, the positive rate was 54. 69% . In the modelⅠ group ( HBsAg + HBeAg + HBcAb positive) and modelⅡ group ( HBsAg + HBeAg positive) the positive rate of HBV-DNA and the average load was the highest, and was significantly higher than the mode Ⅲ (HBsAg + HBcAb positive) , model group Ⅳ( HBsAg + HBeAb + HBcAb positive) and model group Ⅴ ( HBcAb positive) ( P < 0. 05 ) . Pattern of group I ( HBsAg + HBeAg + HBcAb positive) the positive rate of ALT, the average content of were significantly higher than other groups ( P < 0. 01) . In HBV-DNA positive patients, HBV-DNA load and ALT level positively correlated. Conclusion There is a certain relationship between HBV-DNA load , serum markers and ALT level, but the three is reflected in the different aspects of the disease. In the process of diagnosis and treatment of HBV, joint detection of serum markers, HBV-DNA load and ALT level,which has the vital significance in the judgement of prognosis and antiviral efficacy.

关键词

乙型肝炎病毒/血清标志物/HBV-DNA/ALT/聚合酶链反应

Key words

hepatitis B virus/serum markers/HBV-DNA/ALT/polymerase chain reaction

分类

医药卫生

引用本文复制引用

李文楷,丁波,魏容,蒲泽晏,赵其林..联合检测血清标志物、ALT和HBV-DNA对乙型肝炎患者诊疗的临床意义[J].四川医学,2013,34(1):154-156,3.

四川医学

OACSTPCD

1004-0501

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