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分别用定量聚合酶链反应(PCR)法和酶标法(ELISA),检测64例慢性乙型肝炎患者血清HBV-DNA含量与乙肝病毒血清标记物(HBV-M)。结果显示,e抗原阳性组与e抗原阴性组血清HBV-DNA含量分别为107.91±4.16copy/ml和105.82±3.28copy/ml,二组相比具有显著性差异(P<0.05)。此结果进一步证实,e抗原阳性是乙肝病毒体内复制的指标;但同时也有32.9%(21/64)的e抗原阴性患者仍可检出HBV-DNA,提示e抗原阴性不能认为乙肝病毒复制停止。分析认为,定量检测HBV-DNA含量对判断慢性乙型肝炎患者病情,估计其预后具有一定的临床参考价值。
The serum HBV-DNA levels and hepatitis B virus serum markers (HBV-M) in 64 patients with chronic hepatitis B were detected by quantitative polymerase chain reaction (PCR) and enzyme-linked immunosorbent assay (ELISA) respectively. The results showed that the serum HBV-DNA levels of e antigen positive group and e antigen negative group were 107.91 ± 4.16copy / ml and 105.82 ± 3.28copy / ml, respectively, with significant difference between the two groups (P < 0.05). The results further confirmed that e antigen positive hepatitis B virus replication in vivo indicators; but also 32.9% (21/64) of e antigen negative patients can still detect HBV-DNA, suggesting that e antigen negative can not be considered hepatitis B virus replication stop. Analysis, quantitative detection of HBV DNA content in judging the status of patients with chronic hepatitis B, it is estimated that the prognosis of a certain clinical reference value.