乙型肝炎患者感染性发热与肝功能衰竭的相关性分析  

Analysis of the Correlation between Infectious Fever and Liver Failure in Patients with Hepatitis B

作　　者：于紫微 YU Zi-wei(Tieling Central Hospital,Tieling 112000,China)

机构地区：[1]铁岭市中心医院,辽宁铁岭112000

出　　处：《中国医药指南》2020年第16期142-143,共2页Guide of China Medicine

摘　　要：目的探究分析乙型肝炎患者感染性发热与肝功能衰竭的相关性。方法选取2017年6月至2018年6月本院收治的乙型肝炎患者90例进行研究,按照患者入院的先后顺序将他们分为两个研究小组,将感染性发热患者作为观察组(n=48),将未出现感染性发热患者作为对照组(n=42),比较分析感染性发热与肝功能衰竭之间的关系。结果观察组患者的丙氨酸转氨酶、总胆红素均高于对照组,白蛋白、血小板数量均低于对照组(P<0.05);急性肝功能衰竭发生率和肝功能衰竭死亡发生率显著高于对照组(P<0.05)。通过对发生肝功能衰竭患者与未发生肝功能衰竭患者的指标进行检查比较,发生肝功能衰竭的患者以男性为主,且均在40岁以上,患者具有吸烟、饮酒史,并出现发热、乏力等症状。结论在乙型肝炎患者临床治疗中,患者发热与肝功能衰竭症状由密切的联系,如果患者发生感染性发热症状,需对患者病情加强监测,避免不良事故发生,同时也需要对患者的生活习惯全面了解,进一步预防乙型肝炎患者发生肝功能衰竭症状。Objective To explore and analyze the correlation between infectious fever and liver failure in patients with hepatitis B.Methods Ninety patients with hepatitis B admitted to our hospital from June 2017 to June 2018 were selected for the study.They were divided into two research groups according to the order of admission.Infectious fever patients were treated as observation group(n=48),and non-infectious fever patients were treated as control group(n=42).The relationship between infectious fever and liver failure was compared and analyzed.Results Albumin and platelet counts in the observation group were lower than those in the control group(P<0.05),and the incidence of acute liver failure and death in the observation group were significantly higher than those in the control group(P<0.05).By comparing the indicators of patients with liver failure and those without liver failure,the majority of patients with liver failure were male,and they were all over 40 years old.The patients had a history of smoking,drinking,fever,fatigue and other symptoms.Conclusion In the clinical treatment of patients with hepatitis B,fever is closely related to the symptoms of liver failure.If patients have infectious fever,it is necessary to strengthen the monitoring of patients’condition and avoid adverse accidents.At the same time,it is also necessary to have a comprehensive understanding of patients’living habits to further prevent hepatitis B patients from developing symptoms of liver failure.

关 键 词：乙型肝炎 感染性发热 肝功能衰竭 

分 类 号：R512.62[医药卫生—内科学] R575.3[医药卫生—临床医学]