血清甘胆酸测定对肝硬化预后判断的临床价值

对１１８例肝硬化患者血清甘胆酸含量测定。经一年随访，探讨ＳＣＧＡ含量对肝硬化预后的意义。随访期间１１８例中３７例死亡。ＳＣＧＡ浓度与肝硬化病死率的关系比肝性脑病、腹水、营养状态及胆红素。白蛋白和γ－球蛋白更为密切。对病死率的预测，经Ｌｏｇｉｓｔｉｃ回归分析，ＳＣＧＡ为最理想的预后指标。ＳＣＧＡ含量测定对肝硬化预后的判断有较高的临床价值。

Study on the significance of serum cholygylycine acid level in the prognosis for patients with cirrhosis

The serum level of cholygylycine acid was determined in 118 patients with liver cirrhosis and the patients were followed up for 1 year.37 patients out of the 118 died in the fol-lowup period.It was found that the serum level of cholygylycine acid was more closely correlated with the mortality rate of the patients with liver cirrhosis than other commonly used indices such as hepatic encephalopathy,ascites.nutritional status,hihrubin,albumin and gamma-globulin.The serum level of cholygylycine acid was compared with Child's grading concerning the prediction of the mortality rate.After Logistic regression analysis.it was confirmed that the serum level of cholygylycine acid was the most ideal index for the prognosis of the patients with liver cirrhosis.