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台湾南部的肝炎病毒——对2985名居民的大规模调查

Hepatitis viruses in southern Taiwan--mass survey of 2985 inhabitants.

作者信息

Chiou S S, Obata H, Takasaki T, Fukushima Y, Motoike Y, Okuda H, Tanaka S, Kurihara T, Tomimatsu M, Kobayashi S

出版信息

Gastroenterol Jpn. 1984 Aug;19(4):344-50. doi: 10.1007/BF02779124.

DOI:10.1007/BF02779124
PMID:6092191
Abstract

A survey of 2985 apparently healthy Taiwanese in southern Taiwan revealed a high prevalence (18.2%) of hepatitis B surface antigen (HBsAg). It was significantly higher in males (22.3%) than in females (13.6%), but no correlation with family origin, socioeconomic status or residence was established. About one-third of the breeding female HBsAg carriers were HBeAg-positive, and these may be an important source in the spread of HBV. Subtyping of HBsAg in 63 subjects showed adw to be dominant in this area, and 8 subjects with suspicious results had overlapping heterotypic HBV's (7 adwr and 1 adyw) in addition to 2 subjects in which coexistence of HBsAg and anti-HBs was recognized. The association between HBsAg positivity and serum transaminase elevation was significant, especially in the older groups who had a higher abnormal rate. Hepatitis A virus infection was serious too, with nearly 100% of people above 20 years of age being anti-HA antibody positive.

摘要

对台湾南部2985名表面上健康的台湾人进行的一项调查显示,乙肝表面抗原(HBsAg)的流行率很高(18.2%)。男性(22.3%)的流行率显著高于女性(13.6%),但未发现与祖籍、社会经济地位或居住地存在关联。约三分之一的育龄期女性HBsAg携带者HBeAg呈阳性,这些可能是乙肝病毒传播的重要源头。对63名受试者的HBsAg进行亚型分型显示,adw在该地区占主导地位,8名结果可疑的受试者除了2名被确认同时存在HBsAg和抗-HBs的受试者外,还有重叠的异型乙肝病毒(7例adwr和1例adyw)。HBsAg阳性与血清转氨酶升高之间的关联显著,尤其是在异常率较高的老年组中。甲型肝炎病毒感染也很严重,20岁以上人群中近100%抗-HA抗体呈阳性。

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引用本文的文献

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BMC Public Health. 2010 Nov 23;10:719. doi: 10.1186/1471-2458-10-719.
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本文引用的文献

1
Chronic asymptomatic HBSAg carriers: histologic abnormalities and diagnostic and prognostic value of serologic markers of the HBV.慢性无症状乙肝表面抗原携带者:组织学异常及乙肝病毒血清学标志物的诊断和预后价值
Gastroenterology. 1980 Sep;79(3):521-7.
2
The significance of serologic, histologic, and immunohistologic findings in the prognosis of 88 asymptomatic carriers of hepatitis B surface antigen.血清学、组织学和免疫组织学检查结果对88例无症状乙肝表面抗原携带者预后的意义
J Infect Dis. 1981 Jul;144(1):33-7. doi: 10.1093/infdis/144.1.33.
3
Incidence of hepatitis B virus infections in preschool children in Taiwan.
台湾学龄前儿童的乙肝病毒感染发生率。
J Infect Dis. 1982 Aug;146(2):198-204. doi: 10.1093/infdis/146.2.198.
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[The etiology of adult acute viral hepatitis in Taiwan].[台湾地区成人急性病毒性肝炎的病因]
Taiwan Yi Xue Hui Za Zhi. 1982 Aug;81(8):1017-22.
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Hepatitis B virus infection in Taiwan with reference to anti-HBc versus HBsAg and anti-HBs.台湾地区的乙肝病毒感染:抗-HBc与HBsAg及抗-HBs的相关性
Taiwan Yi Xue Hui Za Zhi. 1980 Sep;79(9):760-7.
6
Postnatal infectivity of hepatitis B surface antigen-carrier mothers.乙肝表面抗原携带者母亲的产后传染性
J Infect Dis. 1983 Feb;147(2):185-90. doi: 10.1093/infdis/147.2.185.
7
Concomitant hepatitis B surface antigen and antibody in thirteen patients.13例患者同时存在乙肝表面抗原和抗体。
Ann Intern Med. 1983 Oct;99(4):460-3. doi: 10.7326/0003-4819-99-4-460.
8
Co-occurrence of HBsAg and anti-HBs: two consecutive infections or a sign of advanced chronic liver disease?乙肝表面抗原(HBsAg)与乙肝表面抗体(抗-HBs)同时出现:是两次连续感染还是晚期慢性肝病的迹象?
J Med Virol. 1982;10(2):83-90. doi: 10.1002/jmv.1890100202.
9
Hepatocellular carcinoma and hepatitis B virus. A prospective study of 22 707 men in Taiwan.肝细胞癌与乙型肝炎病毒。对台湾22707名男性的前瞻性研究。
Lancet. 1981 Nov 21;2(8256):1129-33. doi: 10.1016/s0140-6736(81)90585-7.
10
Hepatitis B immune globulin (HBIG) efficacy in the interruption of perinatal transmission of hepatitis B virus carrier state. Initial report of a randomised double-blind placebo-controlled trial.乙型肝炎免疫球蛋白(HBIG)在阻断围产期乙肝病毒携带者状态传播中的疗效。一项随机双盲安慰剂对照试验的初步报告。
Lancet. 1981 Aug 22;2(8243):388-93. doi: 10.1016/s0140-6736(81)90832-1.