全自动毛细管血清蛋白电泳在肝癌中的临床价值

目的通过全自动毛细管血清蛋白电泳检测清蛋白、α1球蛋白、α2球蛋白、β1球蛋白、β2球蛋白、γ球蛋白,探讨以上指标在肝癌中的临床价值。方法收集2014年12月至2015年11月住院患者83例,其中原发性肝癌51例,继发性肝癌32例,运用全自动生化分析仪和全自动毛细管血清蛋白电泳检测患者血清的清蛋白(定量指标以g/L表示,定性指标以%表示)、总蛋白、α1球蛋白、α2球蛋白、β1球蛋白、β2球蛋白、γ球蛋白8项指标,并随机抽查100例健康体检者作为对照组,观察比较以上8项检测指标在各组的差异。结果原发性肝癌组治疗前与对照组比较,清蛋白(%)和γ球蛋白差异有统计学意义(P0.05);原发性肝癌组治疗后与对照组比较,清蛋白(g/L)、清蛋白(%)、β1球蛋白和γ球蛋白差异有统计学意义(P0.05);原发性肝癌组治疗前、后比较,清蛋白(g/L)和清蛋白(%)水平降低,差异有统计学意义(P0.05);γ球蛋白诊断原发性肝癌敏感度和特异度明显高于其余3项指标;同时对各组人群的血清γ球蛋白阳性率比较,原发性肝癌组患者γ球蛋白阳性率高于对照组和继发性肝癌组(P0.05)。结论通过全自动毛细管血清蛋白电泳检测发现,γ球蛋白在肝癌的诊治中具有一定的临床价值。

Clinical value of automatic capillary serum protein electrophoresis in liver cancer

Objective To investigate the clinical value of 6‐indicator of albumin ,alpha 1 globulin ,alpha 2 globulin ,beta 1 globu‐lin ,beta 2 globulin and gamma globulin detected by the automatic capillary serum protein electrophoresis in liver cancer disease . Methods Eighty‐three hospitalized patients(51 cases of primary liver cancer and 32 cases of secondary liver cancer) in our hospital from December 2014 to November 2015 were collected .The automatic biochemical analyzer and automatic capillary serum protein e‐lectrophoresis was adopted to detect the 8 indicators of serum albumin(g/L for quantitative indicator and % for qualitative indica‐tor) ,total protein ,alpha 1 globulin ,alpha 2 globulin ,beta 1 globulin ,beta 2 globulin ,gamma globulin .And 100 individuals undergo‐ing the healthy physical examination were randomly extracted as the control group .The levels of above 8 indicators were compared among various groups .Results The level of albumin(% ) and gamma globulin had statistical difference between the primary liver cancer group before treatment and the control group(P<0 .05);the levels of albumin(g/L) ,albumin(% ) ,beta 1 globulin and gam‐ma globulin had statistical difference between the primary liver cancer group after treatment and the control group(P<0 .05);the levels of albumin(g/L) and albumin(% ) after treatment in the primary liver cancer group were decreased compared with before treatment ,the difference was statistical difference(P<0 .05);the sensitivity and specificity of gamma globulin for indicating primary liver cancer were significantly higher than those of the other three indicators;at the same time in the comparison of the positive rate of serum gamma globulin ,the positive rate of serum gamma globulin in the primary liver cancer group was higher than that in the secondary liver cancer group and the control group(P<0 .05) .Conclusion The automatic capillary serum protein electrophoresis detection finds that gamma globulin has some clinical value in the diagnosis and treatment of liver cancer .