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报告应用PCR技术检测134例慢性肝病患者乙肝病毒DNA的结果,并与乙肝五项进行了对比分析。结果显示,PCR阳性率为69.4%,乙肝五项阳性率为76.1%,HBeAg阳性率仅为16.4%,HBeAg阴性者仍有59.8%为PCR阳性。乙肝病毒感染后各种转归的病人PCR阳性率为48.0~88.9%,抗体阳性的既往感染者PCR也同样有效高的阳性率。结果提示,乙肝病毒感染后,不管是否有活动性肝病,均可有不同程度的病毒复制;HBV-DNA-PCR检测在判断乙肝病毒复制方面比HBeAg敏感得多,在乙肝病毒感染检出率方面不如乙肝五项敏感,两者结合才能全面而精确地判断乙肝病毒感染状态。
Report application of PCR detection of 134 cases of chronic liver disease in patients with hepatitis B virus DNA results, and five were compared with hepatitis B. The results showed that the positive rate of PCR was 69.4%, the positive rate of hepatitis B was 76.1%, the positive rate of HBeAg was only 16.4%, and that of HBeAg negative was 59.8%. The positive rate of PCR in all kinds of patients after the hepatitis B virus infection was 48.0-88.9%, and the positive rate of the PCR in the former antibody-positive patients was equally high. The results suggest that hepatitis B virus infection, with or without active liver disease, may have varying degrees of virus replication; HBV-DNA-PCR detection in determining hepatitis B virus replication is much more sensitive than HBeAg, hepatitis B virus infection in the detection rate Not as sensitive as hepatitis B five, both in order to comprehensively and accurately determine the status of hepatitis B virus infection.