Tan H
Department of Epidemiology, Hunan Medical University, Changsha.
Zhonghua Liu Xing Bing Xue Za Zhi. 1990 Dec;11(6):334-7.
A seroepidemiological study on HBV infection was carried out in a farm with a population of 777. HBsAg, anti-HBs and anti-HBc were tested with SPRIA; HBeAg and anti-HBe with ELISA and HBV DNA with spot hybridization. The results showed that: 1. in HBeAg negative individuals, the positive rate of HBV DNA was 9.33%, as a result, the infectivity of HBsAg carriers could not be estimated accurately with HBeAg examination only; 2. among the total HBV infected individuals, the positive rate of HBsAg of the males was significantly higher than that of the females (51.38% vs 38.89%, P less than 0.005), indicating the difference of response to HBV between males and females; 3. in anti-HBs positive individuals, 42.53% were anti-HBs positive alone, of which, 78.72% had evidence of HBV infection four years before the examination, indicating that the majority of persons who had anti-HBs alone were specifically responsive to HBV.
在一个有777人的农场开展了一项关于乙肝病毒(HBV)感染的血清流行病学研究。采用固相放射免疫分析法(SPRIA)检测乙肝表面抗原(HBsAg)、乙肝表面抗体(抗-HBs)和乙肝核心抗体(抗-HBc);采用酶联免疫吸附测定法(ELISA)检测乙肝e抗原(HBeAg)和乙肝e抗体(抗-HBe),采用斑点杂交法检测HBV DNA。结果显示:1. 在HBeAg阴性个体中,HBV DNA阳性率为9.33%,因此,仅通过HBeAg检测无法准确评估HBsAg携带者的传染性;2. 在所有HBV感染个体中,男性HBsAg阳性率显著高于女性(51.38%对38.89%,P<0.005),表明男性和女性对HBV的反应存在差异;3. 在抗-HBs阳性个体中,42.53%仅抗-HBs阳性,其中78.72%在检查前四年有HBV感染证据,表明大多数仅抗-HBs阳性的人对HBV具有特异性反应。