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目的 探讨低浓度HBsAg感染者血清学乙肝标志物的表现模式以揭示其流行病学特征。方法 采用EIJSA法对 日常工作中的血清标本进行筛选,共收集到252份低浓度和387份高浓度HBsAg血清标本:并经MEIA确证后采用ELISA 法对其六项血清学乙肝标志物进行检测;为表述方便,设定血清学乙肝标志物检测项目第1~5项的排列顺序分别为HBsAg、 Anti-HBs、HBeAg、Anti-HBe、Anti-HBc-IgG,并以出现阳性项目的序号为该模式的代码。结果低浓度HBsAg感染者在人群 中的比例近0.7%,占所有HBsAg阳性感染者的6.86%;低浓度和高浓度组血清学乙肝标志物的表现模式分别有10种和7 种,各模式在两组间的检出率不完全相同(135、145、1345,P<0.05;13、15、1235、12345,P>(0.05),且两组间各模式的Anti-HBc- IgM检出率亦不尽相同(135、145,P<0.05: 15、1235、1345,P>0.05),但两组各模式均以145模式为最高(6.8%和55.0%),其次为 135和15模式(分别为16.7%、28.2%和
Objective To explore the serological markers of hepatitis B in low-concentration HBsAg-infected patients to reveal its epidemiological characteristics. Methods Serum samples from routine work were screened by EIJSA method. A total of 252 low-concentration and 387 high-concentration HBsAg serum samples were collected and validated by MEIA. Six serological markers of hepatitis B were detected by ELISA. For the convenience of expression, the sequence of the first to fifth serological markers of hepatitis B were set as HBsAg, Anti-HBs, HBeAg, Anti-HBe and Anti-HBc-IgG, Pattern of the code. Results The proportion of low-concentration HBsAg-infected persons in the population was nearly 0.7%, accounting for 6.86% of all HBsAg-positive patients. The serological markers of hepatitis B in low and high concentration groups were 10 and 7 The detection rates of the two groups were not all the same (135,145,1345, P <0.05; 13,15,125,12345, P> 0.05) The detection rates of Anti-HBc-IgM were also different (135,145, P <0.05: 15,1235,1345, P> 0.05). 8% and 55.0%), followed by 135 and 15 patterns (16.7%, 28.2%, respectively)