血清-腹水白蛋白梯度与门脉高压症关系的探讨  

The correlation between serum-ascites albumin gradient and portal-hypertension syndrome

作　　者：廖山婴[1] 刘思纯[1] 胡品津[1] 

机构地区：[1]中山大学附属第一医院消化科,广州510080

出　　处：《胃肠病学和肝病学杂志》2004年第2期189-190,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的　探讨血清 腹水白蛋白梯度 (SAAG)与门脉压力是否存在相关。方法　 2 8例肝硬化腹水行胃镜检查了解有无食管静脉曲张 (EV)及其程度 ,并测定SAAG。SAAG =当日血清白蛋白 腹水白蛋白 ,以 11g/L为界值分为高SAAG及低SAAG。采用Pearson相关分析SAAG与EV之间的关系。结果　 2 6例高SAAG中有 2 2例有EV ,而 2例低SAAG均无EV。SAAG与EV存在相关 (r=0 .5 3 ,P <0 .0 1;r =0 .5 5 ,P <0 .0 1) ,但高SAAG的水平与EV的程度并不相关 (P >0 .0 5 )。Objective To investigate the correlation between serum-ascites albumin grdient(SAAG) and portal pressure . Methods Twenty-eight patients with cirrhotic ascites were examined with endoscopy and abdominal paracentesis,SAAG was the difference of albumin between serum and ascites ,which was classified into high-gradint and low-gradient .Pearson correlation analysis was used to assess the correlation between SAAG and esophagel varices(EV).Results Twenty-six patients had high gradient,22 in which combined with EV;Two patients were low gradient and had not EV.There were correlations between the levels of SAAG and EV(r=0.53,P<0.01,r=0.55,P<0.01),but not between the levels of SAAG and the degree of EV(P>0.05).Conclusion There are correlations between SAAG and portal pressure.

关 键 词：血清 腹水白蛋白梯度 门脉高压症 肝硬化腹水 

分 类 号：R657.34[医药卫生—外科学]