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李德昌, 马超, 林潮双, 卢志坚, 范红顺, 谢鸿恩, 何国伟, 姜清明, 沈莉华. 广东乳源瑶族居民HBV感染及基因型分析[J]. 中国公共卫生, 2011, 27(10): 1217-1218. DOI: 10.11847/zgggws-2011-27-10-01
引用本文: 李德昌, 马超, 林潮双, 卢志坚, 范红顺, 谢鸿恩, 何国伟, 姜清明, 沈莉华. 广东乳源瑶族居民HBV感染及基因型分析[J]. 中国公共卫生, 2011, 27(10): 1217-1218. DOI: 10.11847/zgggws-2011-27-10-01
LI De-chang, MA Chao, LIN Chao-shuang, . Prevalence of HBV infection and virus genotypes in Yao population of Ruyuan area,Guangdong province[J]. Chinese Journal of Public Health, 2011, 27(10): 1217-1218. DOI: 10.11847/zgggws-2011-27-10-01
Citation: LI De-chang, MA Chao, LIN Chao-shuang, . Prevalence of HBV infection and virus genotypes in Yao population of Ruyuan area,Guangdong province[J]. Chinese Journal of Public Health, 2011, 27(10): 1217-1218. DOI: 10.11847/zgggws-2011-27-10-01

广东乳源瑶族居民HBV感染及基因型分析

Prevalence of HBV infection and virus genotypes in Yao population of Ruyuan area,Guangdong province

  • 摘要: 目的 了解广东省乳源地区瑶族居民乙型肝炎病毒(HBV)感染率,分析其基因型与临床疾病谱关系。方法 采用酶联免疫吸附(ELISA)方法对665名瑶族、589名汉族居民的HBV血清学标志物进行检测,采用微板核酸分子杂交ELISA法对97例不同临床类型的乙型肝炎患者基因型进行检测。结果 乳源地区瑶族居民HBsAg阳性率(20.3%)明显高于汉族(13.4%),且2个民族男性居民HBsAg阳性率差异有统计学意义(P<0.05);97例瑶族HBV感染者以B基因型(52.58%)、C基因型(36.08%)为主;B/C混合型、C/D混合型、A、D型分别检出4、3、2、2例,未检出E、F基因型;HBV无症状携带者在B基因型中比例(52.94%)高于C型中同类人群(25.71%),慢性乙型肝炎轻、中度患者在B基因型比例(27.45%)低于C型(62.85%),其他临床类型差异无统计学意义。结论 乳源地区瑶族居民男性HBsAg阳性率明显高于汉族;HBV感染以B基因型为主,C型次之。

     

    Abstract: Objective To explore the prevalence of hepatitis B virus(HBV)infection in Yao population in Ruyuan area of Guangdong province and to investigate the correlation between HBV genotypes and clinical disease spectrum.Methods Enzyme-linked immunosorbent assay(ELISA)was used to detect HBV markers of 665 Yao and 589 Han residents. Microboard nucleate molecular hybridization ELISA was used to detect HBV genotype among 97 cases with different clinical types of HBV infection.Results The HBsAg positive rate of Yao population(20.3%)was higher than that of Han population(13.4%)and a significant higher rate was found in the males than in the females(25.81% vs 13.22%,P<0.05). Among the 97 HBV patients of Yao,genotype B took up the highest proportion(52.58%,51/97),followed by genotype C (36.08%,35/97).Totally 7 cases of mixed genotype(4 cases of B/C,3 cases of C/D,2 cases of genotype A and D)were detected.The proportion of genotype B was higher than that of genotype C(52.94% vs 25.71%,P<0.05)in asymptomatic carriers,whereas genotype C was higher than genotype B(62.85% vs 27.45%,P<0.05)in mild or moderate chronic hepatitis B.There were no significant differences in HBV infection of other clinical types.Conclusion The HBsAg positive rate of male Yao persons in Ruyuan was higher than that of Han population.Genotype B was the main type of HBV in the area,followed by genotype C.No genotype E or F was detected.

     

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