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中国防痨杂志 ›› 2006, Vol. 28 ›› Issue (1): 21-24.

• 论著 • 上一篇    下一篇

百色少数民族地区结核病患者TTV和HGV感染的调查

黄其文;黄重敏;覃亚勤;喻文强;黄美金;   

  1. 广西右江民族医学院附属医院感染科 百色 533000;
  • 出版日期:2006-01-10 发布日期:2006-11-03
  • 基金资助:
    广西壮族自治区卫生厅科研资助项目(桂卫科[1999]21号);广西壮族自治区教育厅科研资助项目(桂教科研[1997]397号)

Investigation for the infection of transfusion transmitted virus and hepatitis G virus in the patients with tuberculosis in Baise city

Huang Qiwen,Huang Zhongmin,Qin Yaqin,et al.   

  1. Infection disease department,Affiliate Hospital of Youjiang Medical College for Nationalities,Baise 533000,China
  • Online:2006-01-10 Published:2006-11-03

摘要: 目的了解百色少数民族地区结核病患者输血传播病毒(transfusion transmitted virus,TTV)和庚型肝炎病毒(hepeatitis G virus,HGV)的感染状况及临床意义。方法应用酶联免疫法(ELISA)检测712例结核病患者及500人健康人群血清抗-TTV和抗-HGV,对抗-TTV阳性者用PCR法检测TTV DNA,抗-HGV阳性者用逆转录套式聚合酶链反应法(PT-nPCR)检测HGV RNA,分析结核病患者TTV DNA或HGV RNA阳性者临床特征。结果结核病患者TTV感染率16.71%,健康人群5.60%;结核病患者HGV感染率14.61%,健康人群2.60%;配对比较差异有显著性(P<0.01);结核病患者TTV与HGV感染率具有随年龄增长呈递增趋势,男性高于女性(P<0.05),感染者有过输血史和注射史的比率比非感染者高(P<0.05),在抗结核治疗中感染者比非感染者容易出现抗结核药物所致肝损害(P<0.01)。结论结核病患者对TTV和HGV有较高的感染率,反复注射及免疫功能低下可能是增加TTV和HGV感染的原因,感染者在抗结核治疗中可能更容易出现肝损害。

关键词: 结核, 庚型肝炎病毒, 输血传播病毒, 感染

Abstract: Objective To determine the infection status and clinical significance of transfusion transmitted virus(TTV) and hepatitis G virus(HGV) in the patients with tuberculosis in Baise minority nationality regions.Method Anti-TTV and anti-HGV were detected with enzyme linked immune absorption assay(ELISA) in the serums of 712 tuberculosis patients and 500 control subjects.TTV-DNA was detected with polymerase chain reaction(PCR) in the subjects which anti-TTV was positive.HGV-RNA was detected with PT-nPCR in the subjects which anti-HGV was positive.Clinical character of tuberculosis patients with positive TTV DNA or positive HGV-RNA was investigated.Results The infection rate of TTV was 16.71% in the tuberculosis patients and 5.60% in the control subjects.The infection rate of HGV was 14.61% in the tuberculosis patients and 2.60% the in control subjects.There is significant difference in two groups(P<0.01).The infection rate of TTV and HGV has a trend to rise by age in the tuberculosis patients.The rate in male group is higher than in female group(P<0.05).And the infected people have a higher rate of having blood transfusion and injection history than the uninfected people.Liver injury resulting from antitubercular drugs is more common occurred in the patients infected with TTV-DNA and HGV-RNA during tuberculosis therapy(P<0.01).Conclusion The Results of the study suggest that the infection rate of TTV and HGV is in a relatively high level in the tuberculosis patients.Immune function damage and multi-injection may contribute to it.And the infected patients are easier to suffer the liver damage during tuberculosis therapy.

Key words: Tuberculosis, Hepatitis G virus, Transfusion transmitted virus, Infection