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荧光定量聚合酶链反应检测乙肝病毒及其临床意义 被引量:6

Quantitative detection of hepatitis B virus by fluorescence quantitative PCR and its clinical value
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摘要 目的 :研究HBVDNA含量与乙型肝炎血清学免疫标志物表达关系及HBVDNA含量与肝细胞损害关系。方法 :以完全闭管式的PCR和荧光探针技术相结合的实时检测定量PCR方法 ,对 110例病毒性肝炎患者血清HBVDNA进行检测。结果 :HBeAg阳性 /抗HBe阴性患者HBVDNA拷贝数与HBeAg阴性 /抗HBe阳性患者或HBeAg阴性 /抗HBe阴性患者的拷贝数比较差异有显著性 (P <0 .0 5 ) ,而后二者比较差异无显著性 (P >0 .0 5 ) ;HBVDNA拷贝数与肝实质损害指标血清谷丙转氨酶 /谷草转氨酶 (ALT/AST)、总胆红素 (TBIL)、白蛋白 (ALB)、凝血酶原活动度 (PTA)不具相关性。结论 :抗e抗原抗体非病毒复制终止的标志、病毒性肝炎的肝实质损害程度与血清HBVDNA的含量无相关性。 Objective To study the relationship between the serum contents of HBV DNA copies and the HBV serum index of immunology and the degree of hepatocyte injury in patients with HBV hepatitis. Methods The contents of HBV DNA copies were detected by fluorescence quantitative PCR(FQ-PCR),and the HBV serum index of immunology by ELISA. Results The contents of HBV DNA copies had a significant difference between HBeAg (+)/anti-HBe (-) group (42 patients)and HBeAg (-)/anti-HBe (+) group (57 patients)or HBeAg (-)/anti-HBe (-) group(11 patients)(P<0.05),while there was no significant difference between HBeAg (-)/anti-HBe (+) group and HBeAg (-)/anti-HBe (-) group(P>0.05). The contents of HBV DNA copies had no correlation with the severe degree of hepatocyte injury(P>0.05).Conclusion Anti-HBe is not the terminal sign of HBV replication .The severe degree of hepatocyte injury has not a direct correlation with the contents of HBV DNA copies.
出处 《湖南医科大学学报》 CSCD 北大核心 2003年第2期127-128,共2页 Bulletin of Hunan Medical University
关键词 荧光定量聚合酶链反应 检测 乙肝病毒 血清学免疫标志物 肝细胞损害 hepatitis B virus fluorescence quantitative polymerase chain reaction HBV DNA
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  • 1程钢,何蕴韶,周新宇.荧光定量聚合酶链反应检测乙型肝炎病毒[J].中华医学检验杂志,1999,22(3):135-138. 被引量:387
  • 2Lowell JA, Howard TK, White HM, et al. Serological evidence of past hepatitis B infection in liver donor and hepatitis B infection in liver allograft [ J]. Lancet, 1995,345 : 1084-1085.
  • 3Liang TJ, Baruch Y, Ben PE, et al. Hepatitis B virus infection in patients with idiopathic liver disease [ J ]. Hepatology, 1991,13 :1044-1051.
  • 4Kosaka Y. Fulminant hepatitis B induction by hepatitis B virus mutant defective in the precore region and incaple of encoding E region [ J ]. Gastroenterul, 1991,1087-1084.

二级参考文献1

  • 1Chen C H,J Virol Methods,1995年,53卷,131页

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