慢性乙型肝炎患者乙型肝炎病毒RNA检测的临床价值

Yu Li, YF Lyu, F. Xi
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引用次数: 0

摘要

目的:探讨乙型肝炎病毒前基因组核糖核酸(HBV pgRNA)检测在治疗乙型肝炎中的临床价值。采用化学发光免疫法检测不同感染期和治疗期间血清HBV pgRNA和HBV DNA水平,并检测血清乙型肝炎表面抗原(HbsAg)滴度。从肝活检组织中提取DNA,并检测共价闭合环状DNA,以预测对患者的治疗价值。结果:在治疗初期,Ⅰ期、Ⅱ期、Ⅲ期和Ⅳ期HBV pgRNA水平逐渐下降。比较治疗前后HBV pgRNA水平,发现治疗后HBV pgRNA明显降低(P<0.05)。在预测HBsAg血清转换的指标中,HBV pgRNA的准确率为85.0%(51/60)。结论:乙肝病毒pgRNA检测在治疗乙型肝炎中具有较高的临床价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Value of Hepatitis B Virus RNA Detection in Patients with Chronic Hepatitis B Infection
Objective: To study the clinical value of hepatitis B virus pregenomic RNA (HBV-pgRNA) detection in the treatment of hepatitis B. Methods: 60 patients with hepatitis B were included in the study. Serum HBV-pgRNA and HBV DNA levels in different phases of infection and during treatment were detected, and serum hepatitis B surface antigen (HbsAg) titer was detected by chemiluminescent immunoassay. DNA was extracted from liver biopsy tissue, and covalently closed circular DNA was detected to predict the therapeutic value in patients. Results: At the initial stage of treatment, the level of HBV-pgRNA in phase I, II, III, and IV showed a gradual decrease. Comparing the levels of HBV-pgRNA before and after treatment, we found that the level of HBV-pgRNA was significantly lower after treatment (P < 0.05). Among the indicators for predicting HBsAg seroconversion, the accuracy of HBV-pgRNA level was 85.0% (51/60). Conclusion: The clinical value of HBV-pgRNA detection in the treatment of hepatitis B is high.
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