ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-07-019 预防医学研究 2026, 2(07): 73-76

慢性乙型肝炎患者乙型肝炎表面抗原定量检测与乙型肝炎病毒脱氧核糖核酸载量的相关性分析

山西盈康一生总医院

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摘要

目的 分析慢性乙型肝炎患者血清乙型肝炎表面抗原(HBsAg)定量水平与乙型肝炎病毒脱氧核糖核酸(HBV-DNA)载量的相关性,评估HBsAg定量在判断病毒复制活性中的临床价值。方法 选取2025年9月至2026年3月本院收治的120例慢性乙型肝炎患者为研究对象,检测HBsAg、乙型肝炎e抗原(HBeAg)及HBV-DNA,依据HBeAg状态分为阳性组与阴性组,分析HBsAg与HBV-DNA的相关性。结果 120例患者HBsAg定量与HBV-DNA载量整体呈正相关(r=0.68,P<0.05);HBeAg阳性组两者相关性(r=0.79,P<0.05)强于阴性组(r=0.35,P<0.05)。结论 慢性乙型肝炎患者HBsAg定量与HBV-DNA载量存在正相关关系,HBeAg阳性时相关性更强,HBsAg定量可作为评估病毒复制活性的辅助指标。

Abstract

Objective To analyze the correlation between serum hepatitis B surface antigen(HBsAg) quantitative levels and hepatitis B virus deoxyribonucleic acid(HBV-DNA) load in patients with chronic hepatitis B(CHB), and to evaluate the clinical value of quantitative HBsAg in assessing viral replication activity. Methods A total of 120 CHB patients admitted to our hospital from September 2025 to March 2026 were selected as study subjects. Serum HBsAg, hepatitis B e antigen(HBeAg), and HBV-DNA levels were measured. Patients were divided into HBeAgpositive and HBeAg-negative groups based on their HBeAg status. The correlation between HBsAg levels and HBV-DNA load was analyzed. Results Overall, a positive correlation was observed between quantitative HBsAg and HBV-DNA load in the 120 patients(r=0.68, P<0.05). The correlation coefficient in the HBeAgpositive group(r=0.79, P<0.05) was higher than that in the HBeAg-negative group(r=0.35, P<0.05). Conclusion Quantitative HBsAg levels are positively correlated with HBV-DNA load in CHB patients, with a stronger correlation observed in HBeAg-positive individuals. Quantitative HBsAg can serve as an auxiliary indicator for evaluating viral replication activity.

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[1]兰茜,黄欢.慢性乙型肝炎患者乙型肝炎表面抗原定量检测与乙型肝炎病毒脱氧核糖核酸载量的相关性分析[J].疾病预防与控制,2026,2(07):73-76.