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HBeAg阴性与阳性慢性乙型肝炎患者临床分析 被引量:1

Analysis of clinical characteristics between FIBeAg-negative and HBeAg-positive patients with chronic hepatitis B
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摘要 目的观察乙肝病毒c抗原(HBeAg)阴性与阳性慢性乙型肝炎患者在年龄、ALT、乙肝病毒脱氧核糖核酸(HBVDNA)定量方面的特点。方法回顾性分析125例慢性乙型肝炎患者的临床资料,根据HBeAg表达情况分为HBeAg阴性与阳性慢性乙型肝炎两组,对两组患者的年龄、ALT和HBVDNA进行统计学分析。结果125例慢性乙型肝炎患者中,HBeAg阴性组24例,占19.2%;HBeAg阳性组101例,占80.8%。两组在平均年龄、HBVDNA之间比较,差异具有统计学意义;ALT之间比较没有统计学意义。在HBeAg阴性组中,HBVDNA定量较低,随着病毒载量的增高,ALT异常的数量呈下降趋势;在HBeAg阳性组中,HBVDNA定量较高,随着病毒载量的增高,ALT异常的数量大致呈上升趋势。结论HBeAg阴性慢性乙型肝炎患者年龄较HBeAg阳性患者高,ALT、HBVDNA定量水平低于HBeAg阳性者。随着病毒载量的增高,ALT异常的数量呈下降趋势,而后者则相反。 Objective To observe the characteristics of age, alanine aminotransferase (ALT) and hepatitis B virus DNA (HBV DNA) quantitative between HBeAg-negative and HBeAg-positive patients with chronic hepatitis B. Methods The clinical datas of 125 patients with chronic hepatitis B were analyzed retrospectively. According to the expression of HBeAg, divided the chronic hepatitis B patients into two groups: HBeAg-negative and-positive. The datas of age, ALT and HBV DNA were analyzed by statistical methods. Results Among 125 patients, 24 cases were HBeAg-negative group accounting for 19. 2% ; 101 cases were HBeAg-positive group accounting for 80. 8%. The difference between two groups in average age and HBV I)NA was significant, the comparison between ALT of two groups has no statistical significance. In HBeAg-negative groups, HBV DNA quantitative is lower, as the viral load increase, the number of abnormal ALT show a downward trend; In HBeAg positive group, HBV DNA quantitative is higher, as the viral load increase, the ALT abnormal quantity generally show a upward trend. Conclusions The age of HBeAg- negative chronic hepatitis B patients is larger than the HBeAg-positive patients, the level of ALT, HBV DNA quantitative in HBeAg-negative chronic hepatitis B patients lower than the HBeAg-positive patients, and as the viral load increase, the ALT abnormal number is on the decline, while the latter is opposite.
出处 《中华实验和临床病毒学杂志》 CAS CSCD 2013年第6期472-473,共2页 Chinese Journal of Experimental and Clinical Virology
基金 北京市科委2012年度科技计划重大项目(D121100003912003)
关键词 肝炎 乙型 慢性 肝炎e抗原 乙型 DNA Hepatitis B, chronic Hepotitis B e antigens DNA
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  • 1中华医学会肝病学分会中华医学会感染病学分会.慢性乙型肝炎防治指南.临床肝胆病杂志,2011,27:1-16.
  • 2Lok ASF. Chronic hepatitis B. New Eng J Med, 2002,346: 1682-1683.

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