Abiodun P O, Fatunde O J, Flach K H, Buck T
Department of Child Health, College of Medical Sciences, University of Benin, Nigeria.
Blut. 1989 Mar;58(3):147-50. doi: 10.1007/BF00320435.
Screening of 143 children 6 months to 12 years of age with sickle-cell anemia showed that 39.2% were HBsAg-positive as compared with 19.3% of the 161 control children of the same age group, who had Hb genotype AA (chi 2 = 14.7383; P less than 0.001). Fifty percent of the HbSS children under the age of 1 year were HBsAg-positive as opposed to 4.3% of the control group (chi 2 = 9.1955; P less than 0.001), while 28.6% of patients were HBsAg-positive at the age of 4 years compared with only 7.4% of the controls at the same age. The incidence of anti-HBc in both groups was similar. Markers of HBV infection (HBsAg + anti-HBc) were, however, on the whole higher in the patients with sickle-cell anemia [88/118 (74.6%)] than in the controls [54/88 (61.3%; P less than 0.005)].
对143名6个月至12岁的镰状细胞性贫血患儿进行筛查发现,39.2%的患儿乙肝表面抗原(HBsAg)呈阳性,而在161名同年龄组的对照儿童(血红蛋白基因型为AA)中,这一比例为19.3%(卡方=14.7383;P<0.001)。1岁以下的血红蛋白SS型(HbSS)患儿中,50%的患儿HBsAg呈阳性,而对照组这一比例为4.3%(卡方=9.1955;P<0.001),4岁时,28.6%的患儿HBsAg呈阳性,而同龄对照组中这一比例仅为7.4%。两组中乙肝核心抗体(抗-HBc)的发生率相似。然而,总体而言,镰状细胞性贫血患者中乙肝病毒(HBV)感染标志物(HBsAg+抗-HBc)的比例[88/118(74.6%)]高于对照组[54/88(61.3%;P<0.005)]。