梅毒患者乙型肝炎病毒检测结果分析

摘要

Objective To analyze the infection rate of hepatitis B virus(HBV) in patients with syphilis ,and provide the basis for clinical treatment .Methods 56 patients with syphilis were randomly selected from Yibin Second People′s Hospital from December 2012 to December 2014 as patients group .In addition to that ,56 healthy persons were randomly selected from the healthy examina‐tion center as control group .Results There were 16 people proved to be hepatitis B surface antigen(HBsAg) positive in patients group ,and the infection rate of HBV was 28 .57% ,The infection rate of HBV in control group was 17 .86% (10/56) ,the difference between the two groups was statistically significant(P<0 .05) .The people with HBsAg ,hepatitis B e antigen (HBeAg) and hepati‐tis B core antibody (HBcAb) positive accounted for 50 .00% (8/16) in patients group and 30 .00% (3/10) in control group .Com‐pared between the two groups the difference was statistically significant(P<0 .05) .The people with HBsAg ,hepatitis B e antibody (HBeAb) ,HBcAb positive accounted for 37 .50% (6/16) in patients group and 10 .00% (1/10) in control group .Compared between the two groups the difference were statistically significant(P<0 .05) .Conclusion Compared with healthy people ,the infection rate of HBV infection rate in patients with syphilis significantly increases ,and doctors should be alert to HBV infection in the treatment of syphilis .%目的：分析梅毒患者的乙型肝炎病毒（HBV ）感染率，为临床治疗提供依据。方法随机抽取宜宾市第二人民医院2012年12月至2014年12月期间收治的56例梅毒患者作为患者组。另外，在体检中心随机抽取56例健康体检者作为对照组。结果患者组乙肝表面抗原（HBsAg）阳性患者16例，HBV感染率为28．57％，而对照组HBsAg阳性患者10例，HBV感染率为17．86％，两组比较差异有统计学意义（P＜0．05）。HBsAg、乙肝e抗原（HBeAg）、乙肝核心抗体（HBcAb）3项阳性者在患者组中占50．00％（8／16），在对照组中占30．00％（3／10），两组比较差异有统计学意义（P＜0．05）。HBsAg、乙肝e抗体（HBeAb）、HB‐cAb 3项阳性者在患者组中占37．50％（6／16），在对照组中占10．00％（1／10），两组比较差异有统计学意义（P＜0．05）。结论与健康人群相比，梅毒螺旋体感染患者的 HBV感染率明显增加，临床治疗梅毒的同时，应警惕 HBV的传播。