Xu Po-Shi, Han Shuang-Yin, Sun Chang-Yi, Zhao Jing
Laboratory Department of People's Hospital of Henan Province, Zhengzhou 450003, China.
Zhonghua Shi Yan He Lin Chuang Bing Du Xue Za Zhi. 2012 Aug;26(4):307-9.
To investigate the distribution of hepatitis delta virus (HDV) marker among hepatitis B virus (HBV) infected patients and to reveal its clinical significance.
To collect the clinical data and sera samples of HBV infected patients and to detect HDAg, Anti-HDV as well as HBV infection markers by means of enzyme-linked immunosorbnent assay. These data combined with clinical diagnostic results and biochemical index were then analyzed.
462 samples of HBV infected patients were collected including 210 HBV carriers without symptom, 175 chronic HBV infections, 35 acute HBV infections and 42 liver fibrosis. The HDV infection rate was 4.8% overall. The highest infection rate of 9.5% was found in the group of liver fibrosis whereas the lower rate of 6.9% was found in HBV chronic carriers. HDV infection rate was 7.8% among the population of 40-60 years old, obviously higher than any other age groups.
HDV infection was significantly higher in the chronic HBV patients and liver fibrosis patients. Because HDV infection was highly associated with the progress of liver disease, we suggest the screen of HDV markers among hepatitis patients and discriminate whether the patient was co-infected with HDV.
研究丁型肝炎病毒(HDV)标志物在乙型肝炎病毒(HBV)感染患者中的分布情况,并揭示其临床意义。
收集HBV感染患者的临床资料和血清样本,采用酶联免疫吸附试验检测丁型肝炎抗原(HDAg)、抗-HDV以及HBV感染标志物。然后将这些数据与临床诊断结果和生化指标相结合进行分析。
收集了462例HBV感染患者的样本,其中包括210例无症状HBV携带者、175例慢性HBV感染者、35例急性HBV感染者和42例肝纤维化患者。总体HDV感染率为4.8%。肝纤维化组的感染率最高,为9.5%,而HBV慢性携带者的感染率较低,为6.9%。40至60岁人群中的HDV感染率为7.8%,明显高于其他任何年龄组。
慢性HBV患者和肝纤维化患者中的HDV感染率显著更高。由于HDV感染与肝病进展高度相关,我们建议对肝炎患者进行HDV标志物筛查,并鉴别患者是否合并感染HDV。