糖脂水平联合肝功能及血尿酸检测对老年脂肪肝的诊断效果  

Diagnostic Effect of Glucose and Lipid Levels Combined with Liver Function and Serum Uric Acid on Elderly Fatty Liver

作　　者：陈立中 CHEN Li-zhong(Department of Clinical Laboratory,Wudi People's Hospital,Wudi,Shandong Province,251900 China)

机构地区：[1]无棣县人民医院检验科,山东无棣251900

出　　处：《系统医学》2020年第2期43-45,共3页Systems Medicine

摘　　要：目的探讨糖脂、肝功能、血尿酸联合应用于老年脂肪肝临床检测中的效果。方法选择该院于2019年1—6月期间收治的57例老年脂肪肝患者为研究组对象,同期在该院接受体检的57名健康者为对照组对象,均以速率法对两组对象的肝功能进行检测、以己糖激酶法对两组对象的血脂进行检测、以过氧化物酶比色法对两组对象的血糖进行检测、以迈瑞BS-400全自动生化分析仪对两组对象的血尿酸进行检测,对比两组对象的检测结果。结果在肝功能指标方面,研究组TBil、ALT、AST、TBA、GGT数据分别为:(18.44±4.45)μmol/L、(50.13±4.10)U/L、(46.46±10.11)U/L明显高于对照组的(11.18±2.33)μmol/L、(27.63±4.55)U/L、(26.25±6.32)U/L,差异有统计学意义(t=10.912、27.735、12.797,P<0.05);在血脂水平方面,研究组的HDL-C水平(1.02±0.31)mmol/L较低对照组的(1.40±0.45)mmol/L,差异有统计学意义(t=5.250,P<0.05);在血糖水平方面,研究组FBG(6.43±1.11)mmol/L、HbA1c(7.21±0.53)mmol/L数据均高于对照组的(3.80±1.11)mmol/L、(4.02±0.55)mmol/L,差异有统计学意义(t=12.649、31.532,P<0.05);且研究组对象的血尿酸水平(447.02±91.13)mmol/L高于对照组的(353.31±70.42)mmol/L,数据对比,差异有统计学意义(t=6.143,P<0.05)。结论相对比健康者而言,老年脂肪肝患者的血糖、血脂、肝功能、血尿酸水平均有异常表现,在临床检测中,联合应用糖脂、肝功能、血尿酸检查,可以提高检出有效率,为患者的后期治疗提供指导。Objective To investigate the effect of combined application of glycolipid,liver function,and uric acid in the clinical detection of elderly fatty liver.Methods 57 elderly fatty liver patients treated in our hospital from January 2019 to June 2019 were selected as the study group,and 57 healthy people who underwent physical examination in our hospital as the control group were selected by the rate method.Detection of liver function in two groups of subjects,detection of blood lipids in two groups of subjects by hexokinase method,detection of blood glucose in two groups of subjects by peroxidase colorimetry,and use of Mindray BS-400 automatic biochemical analyzer Serum uric acid was measured in two groups of subjects,and the test results were compared between the two groups of subjects.Results In terms of liver function indicators,the data of TBil,ALT,AST,TBA,and GGT in the study group were:(18.44±4.45)μmol/L,(50.13±4.10)U/L,(46.46±10.11)U/L,which were significantly higher than those in the control group,(11.18±2.33)μmol/L,(27.63±4.55)U/L,(26.25±6.32)U/L,the differences were significantly statistically significant(t=10.912,27.735,12.797,P<0.05);in terms of blood lipid levels,the HDL-C level of the study group was(1.02±0.31)mmol/L lower than that of the control group by(1.40±0.45)mmol/L,and the difference was statistically significant(t=5.250,P<0.05);in terms of blood glucose levels,the FBG(6.43±1.11)mmol/Land HbA1c(7.21±0.53)mmol/L data in the study group were higher than the control group at(3.80±1.11)mmol/L,(4.02±0.55)mmol/L the contrast difference was statistically significant(t=12.649,31.532,P<0.05);and the blood uric acid level of the subjects in the study group(447.02±91.13)mmol/Lwas higher than that in the control group at(353.31±70.42)mmol/L.The data comparison showed statistical differences between the two groups,with significance(t=6.143,P<0.05).Conclusion Compared with healthy people,blood glucose,blood lipids,liver function,and blood uric acid levels of elderly patients with fatty liver

关 键 词：老年脂肪肝 血糖 血脂 肝功能 血尿酸 

分 类 号：R4[医药卫生—临床医学]