[乙型肝炎病毒大表面蛋白在乙型肝炎患者诊治中的临床意义]。

中华实验和临床病毒学杂志 Pub Date : 2013-08-01
Fu-Yi Xie, Qi Sun, Wei Chen
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引用次数: 0

摘要

目的:通过检测血清HBV- lp、HBV DNA及Pre-S1、HBV血清标志物,探讨HBV- lp在HBV复制及抗病毒治疗疗效评价中的意义。方法:采用酶联免疫吸附试验(ELISA)、荧光PCR法检测220例慢性乙型肝炎患者血清HBV- lp、前s1和HBV血清学标志物,检测血清HBV DNA含量。给予阿德福韦酯抗病毒治疗,12周、24周、36周、48周后测量血清学指标。结果:HBV- lp检出率和HBV DNA检出率在慢性乙型肝炎患者中无显著差异,且显著高于Pre-S1和HBeAg检出率。HBeAg阴性CHB患者HBV- lp阳性率与HBV DNA阳性率相似。在抗病毒治疗中,HBV- lp的下降与HBV DNA相似。结论:HBV- lp能反映HBV的复制情况,是一种良好的慢性乙型肝炎诊断和疗效评价指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The clinical significance of hepatitis B virus large surface protein in the diagnosis and treatment of patients with hepatitis B].

Objective: To explore the sigificance of HBV-LP in the HBV replication and anti-virus treatment efficacy assessment by detect the serum HBV-LP and HBV DNA and Pre-S1 and HBV serum markers.

Methods: Serum HBV-LP, Pre-S1 and HBV serologic markers were measured by enzyme-linked immunosobent assay(ELISA), fluorescent PCR method to detect serum HBV DNA content in the 220 cases infected serum of CHB. Treated with adefovir dipivoxil antiviral therapy, and mesured the setologic indicators after 12 weeks, 24 weeks,36 weeks and 48 weeks.

Results: The detection rate of HBV-LP and HBV DNA detection rate no significant difference in patients with chronic hepatitis B, and significantly higher than the Pre-S1 and HBeAg detection rate. HBV-LP positive rate also similar to the HBV DNA positive rate in HBeAg negative CHB patients. In the anti-virus therapy, the declined of HBV-LP similar to HBV DNA.

Conclusions: HBV-LP can reflect the HBV replication, is a good chronic hepatitis B diagnosis and efficacy evaluation index.

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