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目的了解五华县HBsAg阳性携带者转归及其家庭成员HBV感染情况。方法对在2006年血清学调查中发现的60例HBsAg阳性携带者及其家庭成员进行肝功能及HBV相关指标检测,并进行分类诊断。结果 60例HBsAg阳性携带者3年后分类诊断为HBsAg阴转5例(8.33%),HBV携带者47例(78.33%),慢性乙肝7例(11.67%),肝细胞癌1例(1.67%)。检测其家庭成员126人,检出HBsAg阳性25人,阳性率19.84%,分类诊断为HBV携带者21例(84.00%),慢性乙肝4例(16.00%)。结论 HBsAg阳性携带者家庭成员HBsAg阳性率高于普通人员。
Objective To understand the outcome of HBsAg positive carriers in Wuhua County and their HBV infection among family members. Methods Sixty cases of HBsAg positive carriers and their family members found in the serological survey in 2006 were tested for liver function and HBV related indexes, and the diagnosis was carried out. Results Sixty cases of HBsAg positive carriers were classified into 5 cases (8.33%) with HBsAg negative conversion, 47 cases (78.33%) with HBV carriers, 7 cases with chronic hepatitis B (11.67%) and 1 case with hepatocellular carcinoma (1.67% ). Totally 126 HBsAg positive individuals were detected. The positive rate was 19.84%. There were 21 cases (84.00%) diagnosed as HBV carriers and 4 cases (16.00%) of chronic hepatitis B patients. Conclusion The positive rate of HBsAg in family members of HBsAg positive carriers is higher than that of common people.