肝硬化腹水患者血清-腹水白蛋白梯度与食管静脉曲张破裂出血及肝功能分级的关系  

Relationship between Serum-ascites Albumin Gradient of Patients with Cirrhosis Ascites and Esophageal Varices Bleeding and Liver Function Hierarchical

作　　者：张凤华[1] 

机构地区：[1]四川省安岳县康复医院,四川安岳642350

出　　处：《中国医药指南》2015年第14期10-11,共2页Guide of China Medicine

摘　　要：目的总结分析肝硬化腹水患者的血清-腹水白蛋白梯度与食管静脉曲张破裂出血、肝功能分级间的关系。方法选择2012年1月至2013年12月我院收治的60例肝硬化腹水患者为研究对象,根据出血观察结果将患者分为出血组32例和非出血组28例,分别测定两组患者SAAG及肝功能指标。结果根据SAAG水平将60例患者分为三组,SAAG水平越高组患者试管静脉曲张比例、出血比例、Child分级C级比例越高,组间差异具有统计学意义(P<0.05)。结论肝硬化腹水患者SAAG水平越高,食管静脉曲张破裂出血概率越大,肝功能分级评分越高。Objective To investigate relationship between serum-ascites albumin gradient of patients with cirrhosis ascites and esophageal varices bleeding and liver function hierarchical. Methods 60 patients with cirrhosis aseites in our hospital from January 2012 to December 2013 were selected as study, and divided into bleeding group（32 cases） and non- bleeding group（28 cases）, according to observations of bleeding. The indicators of SAAG and liver function of two groups were analyzed. Results 60 patients divided into three groups, SAAG level higher proportion of patients with varicose veins tube group, the proportion of bleeding, Child higher proportion of grade C, a statistically significant difference between groups （P〈0.05）. Conclusion SAAG higher levels in patients with cirrhosis, ascites, variceal hemorrhage greater the probability, the higher the rating liver function.

关 键 词：肝硬化 血清-腹水白蛋白 肝功能分级 

分 类 号：R657.31[医药卫生—外科学]