174例病毒性肝炎肝阻抗血流图分析  

Rheohepatographic Analysis of 174 Patients with Viral Hepatits

作　　者：郝少银 

机构地区：[1]武汉市传染病医院微循环室,邮政编码武汉430022

出　　处：《微循环学杂志》2003年第2期20-21,共2页Chinese Journal of Microcirculation

摘　　要：目的 :了解各型病毒性肝炎的肝血液循环变化。方法 :将 174例病毒性肝炎患者分为 :急性 ( 73例 )、慢性轻度 ( 39例 )、慢性中度 ( 2 7例 )、慢性重度 ( 34例 )病毒性肝炎 4组。对照组 6 0例为本院健康职工。空腹、平卧、平静呼气末屏气检测 ,存盘分析。结果 :与对照组比较 ,①各组肝炎形态异常率为 :急性组 ,4 5 .2 1% ( 33/ 73) ;慢性轻度组 5 3.85 % ( 2 1/39) ;慢性中度组 ,77.78% ( 2 1/ 2 7) ;慢性重度组 ,82 .35 % ( 2 8/ 34) ;②各定量指标由急性、慢性轻度、慢性中度到慢性重度 ,差异逐渐明显 (P <0 .0 5～ 0 .0 1)。结论 :由急性病毒性肝炎到慢性重度病毒性肝炎 ,随着病情进展 ,肝阻抗血流图异常渐明显 ,表明肝脏血液循环障碍渐加重 。Objective: To understand liver circulation change of different type of viral hepatitis.Method: 174 patients with viral hepatitis were classified into four groups:acute(73),chronic slight(39),chronic middle degree(27),chronic severe(34).60 health volunteer acted as normal control.Rheohepatography was operated at fasting,horizontal lie,end of quiet enhale and analyzed with computer.Results: Compared with control group,(1)The abnormality rates in patient groups were 45.21%(33/73) in acute,53.85%(21/39) in chronic slight group,77.78%(21/27) in chronic middle group,82.35%(28/34) in chronic severe group;(2)All quantitative indicators hat obviously change from acute,chronic slight,chronic middle to chronic severe( P<0.05～0.01 ).Conclusion: Rheohepatography abnormality becomes significant gradually with disease progress in viral hepatitis from acute to chronic severe degree.It shows that liver blood circulation obstruction is correspondence with portal hypertension degree.

关 键 词：病毒性肝炎 肝阻抗血流图 检测 高舒张波 低平波 

分 类 号：R512.6[医药卫生—内科学]