血清PA、CHE、TBA、ALB对肝硬化各期的诊断价值  

Diag nostic Value of the Serum Leuel of PA,CHE,TBA in Every Period of Cirrhosis

作　　者：任刚 陈颖 

机构地区：[1]上海市监狱总医院检验科,上海201318 [2]长宁区天山中医医院检验科,上海200051

出　　处：《中外医疗》2013年第1期19-20,共2页China & Foreign Medical Treatment

摘　　要：目的研究并探讨血清PA、CHE、TBA、ALB对肝硬化的诊断价值,以及对患者的血清的PA、CHE、TBA、ALB值进行诊断是否具有临床的可行性,科学性和安全性。方法该研究选取两家医院在2009年5月—2012年5月收治的肝硬化患者360例,肝硬化早、中、晚期各120例,将这些患者作为研究对象。(所有患者都自愿接受调查并服从所有准则)对360例肝硬化患者检测其血清PA、CHE、TBA、ALB的值。在另一组中,也选用120名正常健康人群的血清来测定相关的PA、CHE、TBA、ALB4项指标(自愿接受调查并服从所有准则)。以下简称为对照组。并对资料进行回顾性分析和比较。结果在4项(PA、CHE、TBA、ALB)新指标的诊断中,观察组的正确率明显高于对照组。二者有着本质上的差异,差异有统计学意义(P<0.05)。肝硬化早期与对照组之间的差异无统计学意义(P>0.05);中期和晚期与对照组之间的差异有统计学意义(P<0.05)。结论新指标中PA、CHE、TBA、ALB在诊断慢性肝炎,肝硬化等中体现出较高的诊断价值。具有较高的临床可行性,科学性和安全性。值得在临床上推广。Objective To study and explore the serum levels of PA, CHE, TBA, ALB in diagnosis of liver cirrhosis patients with value, as well as on the levels of serum PA, Che, TBA, ALB values for diagnosis is clinical feasibility, scientific and safety. Methods This study selected two hospitals during 2009May to 2010May were treated360 cases of cirrhosis of liver cirrhosis, early, medium, late in 120 cases, these patients as research object. All patients had a voluntary survey and obey all rules ） in 360 patients with liver cirrhosis detection of the levels of serum PA, CHE, TBA, ALB value. In another group, are also made of 120normal healthy human serum to determination of PA, CHE, TBA, alb.4index, （ a voluntary survey and obey all rules ）] Hereinafter referred to as the control group. And the data were retrospectively analysed and compared. Results In4 （ PA, CHE TBA, ALB ） new targets for the diagnosis, observation group was significantly higher than that of control group correctly. The two have essential difference, the difference was statistically significant. （P〈0.05）. In early stage of liver cirrhosis and the control group there was no significant difference between the （ P〉0.05）; mid and late and control groups between the difference was statistically significant （P〈0.05）. Conclusion： new targets of PA, CHE, TBA, ALB in the diagnosis of chronic hepatitis, cirrhosis and embody the high diagnostic value. Has high clinical feasibility, scientific and safety. Worthy of clinical popularization.

关 键 词：血清PA CHE TBA ALB 肝硬化 诊断价值 

分 类 号：R446.1[医药卫生—诊断学]