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百色市慢性乙肝患者重叠感染TTV及其基因型研究

Study on the transfusion-transmitted virus superinfection and genotype of chronic hepatitis B Patients in Baise

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【作者】 何延专黄重敏黄其文覃亚勤覃后继黄春合周耀南覃雪英

【Author】 HE Yan-zhuan, HUANG Zhong-min, HUANG Qi-wen, et al.Department of Infectious Diseases ,Affiliated Hospital of Youjiang Medical College for Nationalities ( Baise 533000)

【机构】 右江民族医学院附属医院传染科右江民族医学院附属医院传染科 百色533000百色533000百色533000

【摘要】 目的 探讨百色市慢性乙肝患者重叠感染TTV状况及其基因型特点。方法 采用PCR法检测TTVDNA ,微板核酸杂交 -ELISA法检测TTV基因型。结果 本地慢性乙肝患者TTVDNA总感染率 13 2 9% ,与健康体检者比较差异有显著性 (P <0 0 5 ) ,慢性轻度乙肝感染率 6 5 2 % ,慢性中度乙肝感染率 15 2 8% ,慢性重度乙肝感染率 17 5 0 % ,三者比较差异无显著性 (P >0 0 5 ) ;2 1例TTVDNA阳性患者中Ⅰ型 15例 ,占 71 4 3% ,Ⅱ型 2例 ,占 9 5 2 % ,Ⅰ /Ⅱ混合型 4例 ,占 19 0 5 %。结论本地慢性乙肝患者重叠感染TTV较常见 ,其TTV基因型可分为Ⅰ型、Ⅱ型、Ⅰ /Ⅱ混合型 ,以Ⅰ型为主 ,TTV重叠感染可能不导致慢性乙型肝炎病人病情的加重。

【Abstract】 Objective To study the transfusion-transmitted virus(TTV) infection and genotypes of the patients with chronic hepatitis B in Baise.Methods TTVDNA and genotypes of TTV of samples were detected by PCR and mircoplate sandwich Hybridization-ELISA technique respectively.Results The total TTV infection rate of the patients with chronic hepatitis B in west Guangxi province was 13.29%,which was higher than that of the health persons(P<0.05). the TTV infection rates of the patients with chronic mild-degree hepatitis B and chronic mid-degree hepatitis B and chronic severe-degree hepatitis B were 6.52%,15.28% and 17.50%,respectively,but there was no statistical difference between there three groups. In the 21 chronic hepatitis B patients with TTVDNA electropositive, there were three genotypes of TTV, 71.43% was type Ⅰ,9.52% was typeⅡ, mixed of Ⅰ/Ⅱ was 19.05%.Conclusion The results of the study suggest that transfusion-transmitted virus superinfection is common of chronic hepatitis B in west Guangxi .Genotypes of TTV infection in chronic hepatitis B in west Guangxi were type Ⅰ,type Ⅱand typeⅠ/Ⅱ,typeⅠ. The TTV superinfection in chronic hepatitis B may not to be responsible for their clinical exacerbation.

【基金】 广西壮族自治区卫生厅科研资助项目 (99176 )
  • 【文献出处】 广西医学 ,Guangxi Medical Journal , 编辑部邮箱 ,2004年08期
  • 【分类号】R512.6
  • 【下载频次】37
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