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乙型肝炎患者HBV M与HBV DNA相关性研究

Study of relativity between HBV M and HBV DNA in the cases with hepatitis B.

作者信息

Meng Q, Liang R, Liu D

机构信息

Beijing Youan Hospital, Beijing 100054, China.

出版信息

Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2000 Dec;14(4):352-4.

Abstract

OBJECTIVE

Serum samples of 414 cases with hepatitis B were detected for hepatitis B markers (HBV M) and HBV DNA, in order to investigation the relationship between HBV M and HBV DNA, and its clinical significant.

METHODS

HBV M and HBV DNA were detected by ELISA and blot hybridization methods respectively.

RESULTS

HBV DNA positive rates in the groups of acute and chronic hepatitis B were higher than that in the group of liver cirrhosis (P <0.01); HBV DNA positive rates had no apparent difference between the HBsAg, HBeAg, anti-HBc positive group and the HBsAg, anti-HBs, anti-HBc positive group. Direct relativity was shown between the titer of HBsAg and/or HBeAg and the positive rate of HBV DNA.

CONCLUSIONS

HBV DNA can be treated as a sign of HBV activity; the appearance of anti-HBs can not be taken as indicator of ceasing of HBV replication; the changes in HBsAg and HBeAg titers may be used as clinical evaluation on HBV replication and index for anti-viral therapeutic effect.

摘要

目的

检测414例乙型肝炎患者血清中的乙肝标志物(HBV M)及HBV DNA,以探讨HBV M与HBV DNA之间的关系及其临床意义。

方法

分别采用ELISA法和斑点杂交法检测HBV M和HBV DNA。

结果

急性和慢性乙型肝炎组的HBV DNA阳性率高于肝硬化组(P<0.01);HBsAg、HBeAg、抗-HBc阳性组与HBsAg、抗-HBs、抗-HBc阳性组的HBV DNA阳性率无明显差异。HBsAg和/或HBeAg滴度与HBV DNA阳性率呈直接相关性。

结论

HBV DNA可作为HBV活动的标志;抗-HBs的出现不能作为HBV复制停止的指标;HBsAg和HBeAg滴度的变化可作为评估HBV复制及抗病毒治疗效果的临床指标。

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