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慢性乙肝重叠戊肝病毒感染临床分析及病毒间干扰 被引量:5

Clinical analysis and effect on replication of HBV in chronic hepatitis B with HEV superinfection
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摘要 目的 :探索慢性乙肝重叠戊肝病毒感染后其临床表现、肝功能及对 HBV的影响。 方法 :对 30例慢性乙肝重叠戊型肝炎病毒感染后对临床表现、肝功能以及 HBV复制指标 (HBe Ag、HBV- DNA)与单纯乙肝和戊肝病人进行对比观察。 结果 :发现慢性乙肝重叠戊型肝炎病毒感染后其临床类型偏中、重型多 ,与单纯慢性乙肝、戊肝血清总胆红素、AL T、AST比较明显增高。与单纯乙肝比较 ,HBe Ag和 HBV- DNA阳性率显著降低 ,经检验有统计学差异。结论 :慢性乙肝重叠戊肝病毒感染是引起原有慢性乙肝病情加重的原因之一 ,并对 Objective: This study was to investigate the influence of HEV superinfection on chronic hepatitis B (CHB). Method: A clinical analysis was made befween CHB with HEV superinfection (30 cases) and simple CHB (30 cases) as wellas hepatitis E (HE) (34 cases), compared patient's clinical symptons, liver function and serum markers of HBV replication (HBeAg, HBV DNA). Results: It was discovered that the CHB with superinfection showed to have more moderate and severe cases than those of simple CHB and HE. The serum bilirubin, ALT and AST in CHB with HEV superinfection were significantly higher than those in CHB and HE. Additionaly, the positive rate of serum makers of HBV replication in CHB with HEV superinfection was remarkably decreased as comparing with simple CHB. Conclusion: We consider that HEV superinfection may be one of the aggravating factors toward CHB, and that HEV superinfection could inhibit the HBV replication.
出处 《新疆医科大学学报》 CAS 2000年第3期234-235,共2页 Journal of Xinjiang Medical University
关键词 慢性乙型肝炎 内型肝炎病毒 重叠感染 chronic hepatitis B hepatitis E virus superinfection
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参考文献3

  • 1庄辉 高寿征.戊型肝炎的流行与预防.病毒性肝炎防治研究[M].北京:人民卫生出版社,1993.125.
  • 2任仲轩,裴琇,王麟士,刘金星,曹治宸.慢性活动性肝炎多重感染[J].中华传染病杂志,1994,12(3):170-171. 被引量:25
  • 3曹学义 马学众 刘玉璋 等.新疆南部地区肠道传播的非甲非乙型肝炎的流行病学及病原学研究[J].中华实验和临床病毒学杂志,1989,3:20-20.

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