肝功与血清学指标检验对脂肪肝诊断的价值  

The Value of Liver Function and Serological Index Test in the Diagnosis of Fatty Liver

作　　者：苏小苗 SU Xiao-miao(Department of Laboratory Medicine,Huidong People's Hospital,Huizhou,Guangdong Province,516300 China)

机构地区：[1]惠东县人民医院检验科,广东惠州516300

出　　处：《中外医疗》2020年第29期189-191,共3页China & Foreign Medical Treatment

摘　　要：目的探讨在脂肪肝诊断中检验肝功与血清学指标的临床价值。方法从2018年1月—2019年6月方便择取60例脂肪肝患者纳入研究组,并择取同期健康体检者60名纳入对照组,对两组研究对象的肝功指标、血清学指标进行检验,对照分析两组检验结果。结果从肝功指标来看,研究组天门冬氨酸氨基转移酶水平[(60.14±6.29)U/L]、总胆红素水平[(42.52±9.17)μmol/L]、丙氨酸氨基转移酶水平[(43.88±7.16)U/L]均高于对照组,差异有统计学意义(t=29.950、12.997、16.539,P<0.05);从血清学指标来看,研究组甘油三酯水平[(5.60±0.19)mmol/L]、胆固醇水平[(6.76±0.22)mmol/L]、低密度脂蛋白胆固醇水平[(3.06±0.77)mmol/L]均高于对照组,高密度脂蛋白胆固醇水平[(1.06±0.29)mmol/L]低于对照组,差异有统计学意义(t=84.910、67.639、2.287、4.469,P<0.05)。结论在脂肪肝诊断中,对肝功指标以及血清学指标进行检验的临床价值显著,可以为临床诊断提供可靠依据,进而及时采取有效措施进行治疗。Objective To explore the clinical value of testing liver function and serological indexes in the diagnosis of fatty liver.Methods From January 2018 to June 2019,60 patients with fatty liver were convenient selected to be included in the study group,and 60 cases of healthy physical examination during the same period were selected to be included in the control group.The liver function indexes and serological indexes of the two groups of subjects were evaluated,compare and analyze the test results of the two groups.Results From the liver function index,the level of aspartate aminotransferase[(60.14±6.29)U/L],the level of total bilirubin[(42.52±9.17)μmol/L],and alanine aminotransferase enzyme levels in the study group was[(43.88±7.16)U/L]were all higher than those of the control group,and the difference was statistically significant(t=29.950,12.997,16.539,P<0.05);from the serological indicators,the triglyceride level of the study group[(5.60±0.19)mmol/L],cholesterol level[(6.76±0.22)mmol/L],low density lipoprotein cholesterol level[(3.06±0.77)mmol/L]were all higher than the control group,high density lipoprotein cholesterol level[(1.06±0.29)mmol/L]was lower than the control group,and the difference was statistically significant(t=84.910,67.639,2.287,4.469,P<0.05).Conclusion In the diagnosis of fatty liver,the clinical value of testing liver function indexes and serological indexes is significant,which can provide reliable basis for clinical diagnosis,and then take effective measures for treatment in time.

关 键 词：肝功指标 血清学指标 脂肪肝 诊断价值 

分 类 号：R4[医药卫生—临床医学]