PCR检测HBV DNA及其在临床输血中的应用

Shunqing Li
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摘要

本研究旨在通过输血检测患者乙型肝炎病毒(HBV) DNA拷贝数;进一步研究HBsAg阴性但HBV DNA阳性的隐性携带者,了解患者体内HBV的含量和分布,为临床治疗提供依据。对2014年7月至2015年7月采集的532份血样进行了HBV- dna病毒载量和乙型肝炎血清学标志物(5种乙型肝炎血清学标志物)检测,结果显示,HBV血清学阴性3例,HBV- dna病毒载量在250 ~ 500范围内,HBsAb阳性1例,HBV- dna病毒载量在500以上。qPCR检测HBV DNA,配合血清学常规检测,可有效减少输血过程中HBV感染,防止医疗纠纷。
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Detection of HBV DNA by PCR and its application in clinical transfusion
 This study was to detect the hepatitis B virus (HBV) DNA copies in patients through blood transfusions; recessive carriers with HBsAg negative but HBV DNA positive were further studied to see the content and distribution of HBV in patients, and provide evidence for the clinical treatment. A total of 532 blood samples collected from July 2014 to July 2015 were tested for HBV-DNA viral load and hepatitis B serological markers using quantitative Polymerase Chain Reaction (qPCR) and serologic test (five serological markers of hepatitis B). The results showed that, 3 cases were HBV serology negative and the HBV-DNA viral load was in the range of 250-500 whereas only 1 case was HBsAb positive and the HBV-DNA viral load was above 500. qPCR, for detecting HBV DNA, together with serological routine test can effectively reduce HBV infection during transfusion and prevent medical disputes.
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