The two or five positive hepatitis B items usually indicate positive hepatitis B surface antibodies and positive hepatitis B core antibodies, which may be protective antibodies in the body, or may be the presence of occult hepatitis, as follows: 1. Protective antibodies in the body: usually refers to the hepatitis B vaccine or had hepatitis B, the patient has now been cured and has produced protective antibodies. The chance of being infected with hepatitis B is greatly reduced once protective antibodies are produced. 2, there is occult hepatitis: this situation should also be considered occult hepatitis, when the surface antigen is negative, but there is still hepatitis B virus in the blood, you need to carry out HBV-DNA examination, or liver puncture examination to further exclude, but this situation is relatively rare clinically. Therefore, a positive test for items 2 and 5 of the two pairs of hepatitis B mostly indicates that protective antibodies have been produced and are protective, but regular checkups are still needed.