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对213例老年慢性肝病患者的乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)血清标志物检测发现:HBV感染占73.24%、HBVfoHCV重叠感染占15.49%、HCV感染占7.04%、其它占4.26%;HBV阴性者HCV检出率高于HBV阳性者,肝癌和肝硬化患者较慢性肝炎患者高(P<0.01);HBV和HCV重叠感染患者的血清白蛋白下降显著,γ-球蛋白升高明显,肝硬化并腹水和上消化道出血者多(P<0.01或P<0.05)。结果表明,老年慢性肝病患者以HBV感染为主,其次是HBV和HCV重叠感染。重叠感染患者病情重、并发症多、预后差。
The detection of hepatitis B virus (HBV) and hepatitis C virus (HCV) serum markers in 213 elderly patients with chronic liver disease found that HBV infection accounted for 73.24%, HBVfoHCV overlap infection 15.49% and HCV infection 7 .04%, and others accounted for 4.26%. The positive rate of HCV in HBV-negative patients was higher than that in HBV-positive patients, the patients with liver cancer and cirrhosis were significantly higher than those with chronic hepatitis (P <0.01) Albumin decreased significantly, γ-globulin increased significantly, cirrhosis and ascites and upper gastrointestinal bleeding were more (P <0.01 or P <0.05). The results showed that the elderly with chronic hepatitis B virus infection, followed by HBV and HCV overlap infection. Overlapping patients with severe illness, complications and poor prognosis.