乙肝患者乙肝五项的临床化验分析

Clinical Test Analysis of Hepatitis B Five Items of Hepatitis B Patients

目的分析在我院检查的273例乙肝病人的乙肝五项检查结果,验证该检查的临床意义,并研究年龄与发病率的关系。方法选取2015年3月到2016年7月来我院就诊并被确认为乙肝的273例病人作为研究对象,对其乙肝五项检查结果进行回顾分析,采用ELISA方法进行分析,主要有HBsAg、HBeAg、抗-HBs、抗-HBc、抗-HBe五项指标。总结感染者的年龄分布,分析年龄与发病率的关系。结果有159人是全部指标呈阴性,占比为58.242%,有57人为抗-HBs检查阳性,占比为20.879%(人工免疫结果)。单项HBsAg的例数是17,占比为6.227%,总HBsAg的人数为44人,占比为16.117%。单项标志物的检出例数与标志物检出的总例数差异很大,P<0.05,30岁到40岁的发病率最高,为34.066%。结论乙肝五项检查指标在乙肝的诊断中具有很好的价值,能够较好地检出疾病,可以在临床中应用。

Objective to analyze laboratory results of five items of 273 cases hepatitis B patients in our hospital, to verify clinical significance of the examination, and study relationship between age and morbidity. Methods choose 273 cases diagnosed hepatitis B patients in our hospital from March 2015 to July 2016 as research objects, review and analyze five items data of hepatitis B test with ELISA method, including five indicators of HBsAg, HBeAg, anti-HBs, anti-HBc, anti-HBe. Summarize age distribution of infected, and analyze relationship between age and morbidity. Results all indexes of 159 cases were negative, accounting for 58.242%, 57 showed anti-HBs test positive, accounting for 20.879%(artificial immune results). 17 cases were single HBsAg, accounting for 6.227%, and 44 cases were total number of HBsAg, accounting for 16.117%. Detected cases of single markers have significant differences from total markers, P<0.05, and incidence rate aging 30 to 40 was the highest, which is 34.066%. Conclusion five items of hepatitis B has good value in hepatitis B diagnosis, can detect disease better and be applied in clinical practice.