Hepatitis B carrier bilirubin is a little high, usually it does not matter, you need to judge whether you need to receive treatment according to the results of liver function tests. 1. Normal liver function: Hepatitis B carriers do not need special treatment if the results of liver function tests are normal, and they only need to undergo regular checkups. 2. Abnormal liver function: if the result of liver function test is abnormal, patients need to receive antiviral treatment, and the first-line drugs for treating hepatitis B include entecavir and tenofovir, etc. At the same time, patients also need to undergo regular checkups in order to know the recovery of abnormal liver function. In addition, Hepatitis B is a dangerous disease, once diagnosed, patients need to actively receive treatment to avoid affecting their health.