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用酶联免疫吸附试验(ELISA)检测123例乙型肝炎表面抗原(HBsAg)阳性的各期血吸虫病患者及50例HBsAg阳性的非血吸虫病对照人群血清丁型肝炎病毒(HDV)标志物,用斑点杂交检测晚期血吸虫病(晚血,AS)患者HBV-DNA。结果表明,HBsAg阳性的晚血患者HDV标志物(HDV-M)检出率14.5%,显著高于急性血吸虫病(急血)、慢性血吸虫病(慢血)患者(2.5%)及对照人群(2.0%)(P<0.05)。随访观察发现,HBV/HDV双重感染的晚血患者病死率40%,显著高于单纯HBV感染的晚血患者(8.5%,P<0.05),提示晚血患者是HDV感染的易感人群,HDV感染是HBsAg阳性晚血患者病情加重或恶化的一个重要原因,HBV/HDV双重感染与晚血患者死亡密切相关。
Enzyme-linked immunosorbent assay (ELISA) was used to detect 123 hepatitis B surface antigen (HBsAg) -positive stages of schistosomiasis patients and 50 HBsAg-positive non-schistosomiasis control subjects serum hepatitis B virus (HDV) markers, with Detection of HBV-DNA in patients with advanced schistosomiasis (late blood, AS) by dot blot hybridization. The results showed that the HDV-M detection rate was 14.5% in HBsAg-positive patients with late-onset blood, significantly higher than those in acute schistosomiasis (acute blood) and chronic schistosomiasis (2.5%) And control subjects (2.0%) (P <0.05). Follow-up observation found that the mortality of patients with HBV / HDV double infection was 40%, significantly higher than that of patients with pure HBV infection (8.5%, P <0.05), suggesting that patients with late blood are HDV-infected Influenza, HDV infection is HBsAg-positive patients with late blood aggravating or worsening an important reason, double infection of HBV / HDV and late death of patients with blood are closely related.