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低水平血清乙型肝炎病毒表面抗原、e抗原测定及其临床意义
作者:李君 臧桂珍 李鹤林 杨松梅 
单位:东南大学医学院附属南京第二医院检验科,江苏南京,210003
关键词:肝炎表面抗原 乙型/分析 肝炎E抗原 乙型/分析 肝炎病毒 乙型/免疫学 荧光抗体技术 
分类号:R512.62, R446.62
出版年·卷·期(页码):2003·22·第一期(41-43)
摘要:

目的:了解低水平乙型肝炎(乙肝)病毒表面抗原(HBsAg)、e抗原(HBeAg)在乙肝患者中的分布和相关乙肝病毒血清标志物的模式特征.方法:应用微粒子酶免疫技术(MEIA)对7900例门诊和住院病人血清标本进行乙肝病毒5项标志物的检测,根据临界值质控血清的值来确定质量浓度在5μg*L-1或1μg*L-1以下HBsAg阳性数,以及浓度在2nCu*ml-1以下HBeAg阳性数,并分析相关乙肝病毒标志物(HBV-M)的模式.结果:共检出HBsAg阳性6*!162例,其中质量浓度在5μg*L-1以下者占13.53%,1μg*L-1以下者8.4%;HBeAg阳性者4401例,其中浓度在2nCu*ml-1以下者为21.9%.5项血清标志物检测发现不少特殊模式,HBsAg与抗-HBs同时阳性者主要出现在HBsAg质量浓度低于1μg·L-1的标本中;血清HBeAg浓度在2nCu*ml-1以下者,HBeAg和抗-HBe同时阳性的占52.4%.结论:提高HBsAg、HBeAg检测的灵敏度有助于乙肝的诊断、治疗以及流行病学调查,MEIA法可对一些不明原因的转氨酶升高患者作出明确的诊断.

Objective  To investigate the distribution of the population with low level HBsAg,HBeAg in serum and the characteristics of their HBV serologic markers.Methods  AxSyM microparticle enzyme immunoassay(MEIA) system was used to detect contents of the five markers in the serum samples from   7?900   patients and determine the patients with HBsAg concentration less than 5?μg·L    -1  ,1?μg·L    -1  .Results  There were 6?162 patients with positive HBsAg,including 13.53%,  8.4  % with HBsAg less than  5?μg·L    -1  ,less than 1?μg·L    -1   respectively.And there were 4?401 patients with positive HBeAg,including 21.9% with HBeAg less than 2?nCu·ml    -1  .There also had many special types.HBsAg and HBs antibodies positive were frequently present in those with HBsAg concentration less than 1?μg·L    -1  .HBeAg and HBe antibodies were positive in   52.4  % patients with HBeAg concentration less than 2?nCu·ml    -1  .Conclusions  Enhancing the detecting sensitivity of HBsAg and HBeAg is helpful in diagnosis,treatment and epidemiologic investigation of hepatic patients.A define answer can be attained by MEIA in patients with nu  causing high aminotransferase.

参考文献:

[1] 陈瑜, 钟步云, 许根云. 低水平血清乙肝病毒表面抗原测定及其临床意义. 中华检验医学杂志2001(1)
[2] 陆志檬. 乙型肝炎的病原诊断, 1997
[3] 郭磊. HBcAg和HBeAg的免疫调节作用若干研究进展, 1997(4)
[4] 侯金林, 骆抗先, 梁帜森. HBsAg阴性乙型肝炎病毒感染与基因插入变异的关系, 1996(4) 

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