不同胆酸浓度与各类疾病的关系  

THE RELATIONSHIP BETWEEN THE BLOOD LEVEL OF CHOLIC ACID AND DIFFERENT DISEASES

作　　者：温耀萍[1] 黄立坤[1] 王大骏[1] 

机构地区：[1]山西医学院,山西省人民医院

出　　处：《同位素》1995年第1期32-34,共3页Journal of Isotopes

摘　　要：从１９９１年１２月至１９９２年２月筛选经临床、病理、手术确诊的各种疾病患者共４５３例，测定其空腹血清结合胆酸（ＣＣＡ）。按ＣＣＡ的升高程度分为三组：Ａ组为３００－６００μｇ／ｄｌ；Ｂ组为６００－１５００μｇ／ｄｌ；Ｃ组为＞１５００μｇ／ｄｌ，正常值＜２９０μｇ／ｄｌ。各组ＣＣＡ值与肝、胆（胰）疾病的诊断符合率分别为“Ａ”组５７．６％；“Ｂ”组７９．５％；Ｃ组８９．３％。经统计学检验：Ａ与Ｂ及Ｃ有非常显著差异（Ｐ＜０．０１），而Ｂ、Ｃ二组之间差异不显著（Ｐ＞０．０５）。结果表明：高于正常值一倍以上，才具有诊断肝胆病的意义。The increased fasting conjugated serum bile acid(CCA)in 453 cases of miscellaneous diseaseswere analysed from Dec.,1991 to Feb.,1992.According to the increaed level of CCA it can be divided into three groups(group A:300-600 μg/dl,group B: 600-1500 μg/dl,group C:>1500μg/dl).,The normal limit is less then 290 μg/dl.Comparing with the CCA level of different groupsand the diagnostic results of hepato-biliary diseases,the coincidence rates are 57.6%for group A,79.5%for group B and 89.3%for group C respectively.A significant difference was found betweengroup A and other two groups(P<0.01).No marked difference was found between B and C.The results suggested that there were no exact diagnostic significance for hepato-biliary diseases,unless thelevel of CCA was 2 times as large as noaml limit.

关 键 词：RIA 胆酸 肝功能 肝疸病 

分 类 号：R446.1[医药卫生—诊断学] R575[医药卫生—临床医学]