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张建军, 牟振云, 刘勖, 张普洪, 王金全, 郭荣芹, 郭文瑞. 肝癌家庭成员HBV、HCV感染的调查分析[J]. 中国公共卫生, 2001, 17(12): 1089-1090. DOI: 10.11847/zgggws2001-17-12-22
引用本文: 张建军, 牟振云, 刘勖, 张普洪, 王金全, 郭荣芹, 郭文瑞. 肝癌家庭成员HBV、HCV感染的调查分析[J]. 中国公共卫生, 2001, 17(12): 1089-1090. DOI: 10.11847/zgggws2001-17-12-22
ZHANG Jian-jun, . Survey and Analysis on HBV and HCV Infection of Families of HCC[J]. Chinese Journal of Public Health, 2001, 17(12): 1089-1090. DOI: 10.11847/zgggws2001-17-12-22
Citation: ZHANG Jian-jun, . Survey and Analysis on HBV and HCV Infection of Families of HCC[J]. Chinese Journal of Public Health, 2001, 17(12): 1089-1090. DOI: 10.11847/zgggws2001-17-12-22

肝癌家庭成员HBV、HCV感染的调查分析

Survey and Analysis on HBV and HCV Infection of Families of HCC

  • 摘要: 目的 通过调查HCC家庭成员HBV、HCV感染状况,探讨HCC的发生与HBV、HCV感染的关系.方法 应用ELISA法和PCR法,分别检测了HCC病例与对照家庭成员血清中HBsAg、抗-HBs、HBeAg、抗-HBe、抗-HBc、抗-HCV及HBVDNA.结果病例组子女的HBsAg、抗-HBe、抗-HBc和HBV总感染率均高于对照组,具有统计学意义(P<0.05或P<0.01);且病例组子女HBVDNA检测高于对照组(P<0.05),HBeAg和HBVDNA密切相关,HBeAg阳性血清HBVDNA检测均为阳性,抗-HCV在病例与对照组间均无显着性差异(P>0.05).进入条件Logistic回归方程中的因素为HBsAg和抗-HBc,其OR值分别为27.96和4.77.结论 HCC家庭内有HBV感染的聚集性倾向,HBsAg和抗-HBc两项标记,在HCC家庭成员乙肝感染中更具代表性,密切生活接触也是HBV感染传播途径之一,丙肝感染不占主要地位.

     

    Abstract: Objective In order to investigate infection status about HBV and HCV in family members of HCC and to reveal the opportunity exposed to HBV and HCV infection.Methods HBsAg,anti-HBs,HBeAg,anti-HBe,anti-HBc,anti-HCV were detected in the sera of family members from case and control using ELISA,and HBV DNA with PCR.Results HBsAg,anti-HBe,anti-HBc and HBV total infection ratio were higher in the children of case group than that in control;anti-HBc and HBV total infection ratio in the spouse of case group were also higher than that in control.Statistical variations were significant(P<0.05 or P<0.01).The examination of HBVDN A in the children of case group was higher than that in control(P<0.05).There was a close connection between HBeAg and HBV DNA.Positive HBV DNA were with positive sera of HBeAg.There was no statistical variation between case and control in anti-HCV(P>0.05).HBsAg and anti-HBc were led into conditional logistic regression equation with odds ratio value of 27.96,4.77 respectively.Conclusion There was a trend of clustering of HBV infection in families of HCC.HBsAg and anti-HBc were representitive mar kers in Hepatitis B virus infection in the family members of HCC.Close living contact was also one of the routes of transmission.HCV infection wasn't the major type of infection.

     

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