Õë¶Ô¼ÈÍù̻¶ÓÚÒÒÐ͸ÎÑײ¡¶¾µÄ»¼Õߣ¬½ÓÊÜÃâÒßÒÖÖÆ¼ÁÖÎÁÆÀú³ÌÖпÉÄÜ·ºÆð²¡¶¾ÔÙ¼¤»î¡£ÒÒÐ͸ÎÑ×Íâò¿¹Ô(HBsAg)ÑôÐÔ»¼Õß±¬·¢²¡¶¾ÔÙ¼¤»îµÄΣº¦¸ß;ÒÒÐ͸ÎÑ×Íâò¿¹Ô(HBsAg)ÒõÐÔ¶øÒÒÐ͸ÎÑ×½¹µã¿¹Ô¿¹Ìå(¿¹HBc)ÑôÐÔ»¼ÕßÒ²Óб¬·¢²¡¶¾ÔÙ¼¤»îµÄΣº¦¡£
ÒÑÓÐÑо¿±¨¸æ¹ýHBsAgÑôÐÔ»¼Õß½ÓÊÜÒìÌåÔìѪ¸Éϸ°ûÒÆÖ²Àú³ÌÖзºÆð²¡¶¾ÔÙ¼¤»î£¬¿ÉÊÇÏÖÔÚÉÐûÓÐǰհÐÔÑо¿ÆÀ¹ÀHBsAgÒõÐÔ¶ø¿¹-HBcÑôÐÔ»¼Õß±¬·¢²¡¶¾ÔÙ¼¤»îµÄΣº¦¡£
À´×ÔÏã¸Û´óѧÂêÀöÒ½ÔºµÄSetoµÈ¾ÙÐÐÁËÒ»ÏîǰհÐÔÑо¿£¬ÆÀ¹ÀÁËHBsAgÒõÐÔ¡¢¿¹-HBcÑôÐÔµÄÒþÄäÐÔHBVЯ´øÕßÔÚ½ÓÊÜÔìѪ¸Éϸ°ûÒÆÖ²ºó£¬±¬·¢HBVÔÙ¼¤»îµÄΣº¦¡£Ö÷ÒªÑо¿ÖÕµãΪHBVÔÙ¼¤»î£¬½ç˵Ϊ¿É¼ì²âµ½HBV DNA(¡Ý10 IU/ml)¡£´ÎÒªÑо¿ÖÕµã°üÀ¨×ÜÉúÑÄÂÊ¡¢HBsAgÑôÐÔ¡¢¸ÎÔàÉú»¯×ª±äºÍ¿¹-HBsˮƽת±ä¡£
Ñо¿ÕÐļÁË297Àý½ÓÊÜÒìÌåÔìѪ¸Éϸ°ûÒÆÖ²µÄ»¼Õߣ¬85Àý(28.7%)ΪHBsAgÒõÐÔ¡¢¿¹-HBcÑôÐÔ»¼Õߣ¬ÆäÖÐ62Àý»¼ÕßÇкÏÄÉÈë±ê×¼²¢½ÓÊÜÁ˼à²â(ÿ4ÖܶԻ¼Õß¾ÙÐмà²â£¬ÖÐλ¼à²âʱ¼ä48ÖÜ)¡£
Ñо¿Ð§¹ûÏÔʾ£¬2ÄêÀÛ¼ÆHBVÔÙ¼¤»îÂÊΪ40.8%£¬HBVÔÙ¼¤»îµÄÖÐλʱ¼äΪ44(8¡«100)ÖÜ¡£
¶àÒòËØÆÊÎöÏÔʾ£¬ÄêËê¡Ý50Ëê(HR = 8.2£¬P = 0.004)ºÍÂýÐÔÒÆÖ²ÎËÞÖ÷²¡(GVHD)(HR = 5.3£¬P = 0.010)ÓëHBVÔÙ¼¤»îÏà¹ØÏÔÖø;ÆäËûÁÙ´²²ÎÊý£¬°üÀ¨»ùÏß¿¹-HBs״̬¡¢¿¹-HBsˮƽ±ä»»ºÍ¹©ÌåѪÇåѧת±äÓëHBVÔÙ¼¤»îÎÞ¹Ø;
ÄêËê<50ËêÒÔ¼°ÎÞÂýÐÔÒÆÖ²ÎËÞÖ÷²¡µÄ»¼ÕßÓëÆäÓ໼ÕßÐÐÁÐÏà±È£¬3ÄêÀÛ¼ÆHBVÔÙ¼¤»î±¬·¢ÂÊÏÔÖø½ÏµÍ(5.6% vs 65.0%£¬P = 0.004);
±ðµÄ£¬¶÷Ìæ¿¨Î¤ÖÎÁÆ¿ÉÒÖÖÆHBV DNAÖÁ¼ì²â²»³öˮƽ£¬ÇÒÎÞ1Àý»¼Õß±¬·¢¸ÎÔàÉú»¯Òì³£¡£
×ÜÖ®£¬HBsAgÒõÐÔ¡¢¿¹HBcÑôÐÔ»¼Õß½ÓÊÜÒìÌåÔìѪ¸Éϸ°ûÒÆÖ²ºóHBVÔÙ¼¤»îÂʺܸߡ£HBVÔÙ¼¤»îµÄÓ°ÏìÒòËØ°üÀ¨ÄêËê¡Ý50ËêºÍÂýÐÔÒÆÖ²ÎËÞÖ÷²¡¡£»ùÓÚÕâЩ²ÎÊýµÄÖÎÁÆÕ½ÂÔ¿ÉÄÜÓÐÖúÓÚÔ¤·ÀHBVÔÙ¼¤»îºÍËæºóµÄ²¢·¢Ö¢¡£


Ãö¹«Íø°²±¸ 35092602000113ºÅ