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张家琪, 史济弘, 王华梁, 方芳, 朱霄, 胡振华, 谢凤珍, 胡进, 于川. 上海地区部分人群输血传播病毒(TTV)感染的研究[J]. 中国公共卫生, 2001, 17(7): 581-583. DOI: 10.11847/zgggws2001-17-07-03
引用本文: 张家琪, 史济弘, 王华梁, 方芳, 朱霄, 胡振华, 谢凤珍, 胡进, 于川. 上海地区部分人群输血传播病毒(TTV)感染的研究[J]. 中国公共卫生, 2001, 17(7): 581-583. DOI: 10.11847/zgggws2001-17-07-03
ZHANG Jiaqi, . Study on TTV Infecting in Shanghai[J]. Chinese Journal of Public Health, 2001, 17(7): 581-583. DOI: 10.11847/zgggws2001-17-07-03
Citation: ZHANG Jiaqi, . Study on TTV Infecting in Shanghai[J]. Chinese Journal of Public Health, 2001, 17(7): 581-583. DOI: 10.11847/zgggws2001-17-07-03

上海地区部分人群输血传播病毒(TTV)感染的研究

Study on TTV Infecting in Shanghai

  • 摘要: 目的 调查上海地区输血传播病毒(TTV)在不同人群中的感染情况,探索TTV的高危人群和传播途径.方法 应用半巢式PCR方法检测TTVDNA,并抽取部分阳性标本的PCR产物(249bp)测定核苷酸序列.结果 检测有关人群8组计473例,其中非甲~非庚型肝炎病人60例,甲~庚型肝炎病人102例,血液透析病人55例,血液病儿童38例,健康人群68例,以及性病病人、静脉吸毒人群、肝癌病人各50例.TTVDNA总阳性率28.33%(134/473).阳性率波动在17.64%~50%.8组人群中静脉吸毒人群阳性率高达50%(25/50),性病组阳性率36%(18/50),该2组人群TTV感染率与健康人群(17.64%)相比均有显着性差异(χ2=14.01P<0.001,χ2=5.12P<0.05).其余各组群阳性率差异比较无统计学意义.将肠道传播途径的组群(甲、戊肝)与血液传播途径的组群(静脉吸毒者、血液病疾患、血液病人及乙、丙肝病人)比较分析,其阳性率分别为25.49%、32.17%.二者无显着性差异(χ2=0.46,P>0.05).20份阳性标本扩增产物测序结果,核苷酸序列与日本株(N22)同源性在85%以上的有15例,在<85%的有5例.结论 研究证实上海地区存在较广泛的TTV感染,其中静脉毒瘾者与性病患者为高危人群,传播途径除经血感染外,可能存在性接触传播及其他非血源性传播途径.TTV在人群中存在携带状态,可能是致病性不强的病毒.上海地区存在TTV毒株的变异.

     

    Abstract: Objective To investigate the situation of TTV infecting in various crowds in Shanghai and to explore the high-risk crowd and spreading way of TTV.Methods Applying semi-nested PCR to test TTV DNA and picking out some PCR outcome (249bp)of positive sample to deter mine the nucleotidesequence.Results Eight groups counting to 473 are examined,sixty patients are non A~G hepatitis,102 patients are A~G hepatitis,55 patients are hemodialysis,38 children are blood disease,68 healthy men and 50 patients are venereal disease,vein freak-out and cancer of the liver.The gross masculine rate of TTV DNA is 28.33% (134/473).The masculine rate fluctuates between 17.64% and 50%.The mascline rate of vein freak-out is 50%(25/50)and venereal disease is 36%(18/50),both of which have the no table difference(χ2=14.01,P<0.001,χ2=5.12,P>0.05)from the healthy men(17.64%).The difference of masculine rate in other group has no statistics meaning.Comparing the group of intestines infecting(A,E hepatitis)and the group of blood infecting(vein freak-out,blood disease,hemodialysis and B,C hepatitis),the corresponding masculine rate of which is 25.49% and 32.17% and has no notable difference(χ2=0.46,P>0.05).The sequence result of spreading outcome in 20 masculine samples shows that there are 15 samples which the isogenous of nucleo tide sequence and Japanese strain(N22)is higher than 85% and 5 samples lower than 85%.Conclusion The research proves that the infection of TTV is rather comprehensive in Shanghai,in which the vein freak-out and venereal disease are high-danger crowd and there maybe exists spreading way of sex contact and non-hematogenous dissemination besides blood infection.TTV is in carrying state in crowd and may be a poor nosogenetic virus.The aberrance of TTV ototoxicosis strain is in existence in Shanghai.

     

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