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联合检测前S1、前S2抗原在乙型肝炎诊断中的意义

Significance of detection of HBV Pre-S1 and Pre-S2 antigens in the diagnosis of type B hepatitis

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【作者】 代云才逯心敏郭渝杨晓梅邱晓芳

【Author】 DAI Yun-cai,LU Xin-min,GUO-Yu,et al.(Clinical Laboratory,Yibin Second People’s Hospital,Yibin 644000,China)

【机构】 四川省宜宾市第二人民医院检验科四川省宜宾市第二人民医院检验科 四川宜宾644000四川宜宾644000

【摘要】 目的探讨联合检测前S1(Pre-S1)、前S2(Pre-S2)抗原及DNA在乙型肝炎诊断中的意义。方法采用ELISA双抗体夹心法检测乙肝Pre-S2、Pre-S1抗原阳性及同时阳性标本各100例,并以PCR法检测其DNA含量。结果Pre-S1抗原阳性样本100份中,检测出乙肝DNA阳性85份,检出率85%;Pre-S2抗原阳性样本100份中,检测出乙肝DNA阳性83份,检出率83%;Pre-S1、Pre-S2抗原均阳性样本100份中,检测出乙肝DNA阳性93份,检出率93%,明显高于单一抗原检测(P<0.05)。结论乙肝Pre-S1、Pre-S2抗原与其病毒复制有关,两种抗原同时在同一样本中的检出,可作为判断乙肝病毒复制的可靠依据。

【Abstract】 Objective To study the significance of detecting HBV Per-S1,Per-S2 antigens and their DNA in diagnosing type B hepatitis.Methods ELISA of double antibody sandwich method was used to measure HBV Pre-S1 and Pre-S2,and PCR to detect the DNA content.Results Among 100 examples of only Pre-S1 antigen positive,the positive rate of HBV DNA was 85%.In 100 examples of only Pre-S2 antigen positive,the positive rate of HBV DNA was 83%.In 100 examples of both Pre-S1 and Pre-S2 antigens positive,the positive rate of HBV DNA was 93%,significantly higher than single antigen detection(P <0.05).Conclusion HBV Pre-S1 and Pre-S2 antigens are related to viral replication.HBV replication will be ascertained if the two antigens are detected in the same sample simultaneously.

  • 【文献出处】 实用医院临床杂志 ,Practical Journal of Clinical Medicine , 编辑部邮箱 ,2007年05期
  • 【分类号】R512.62
  • 【被引频次】1
  • 【下载频次】36
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