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慢性乙肝患者血清血脂及载脂蛋白水平检测的临床意义
引用本文:杨进孙,汪长生,喻艳林.慢性乙肝患者血清血脂及载脂蛋白水平检测的临床意义[J].临床消化病杂志,2009,21(2).
作者姓名:杨进孙  汪长生  喻艳林
作者单位:皖南医学院附属弋矶山医院感染性疾病科,芜湖,241001
摘    要:目的 检测慢性乙肝患者血清总胆固醇(TC)、甘油三酯(TG)、载脂蛋白A(apoA)、载脂蛋白B(apoB)水平变化,并探讨其临床意义.方法 采用全自动生化分析仪检测患者血清TC、TG、apoA和apoB,同时检测凝血酶原时间(PT),并与正常对照组比较分析.结果 TC、apoB在乙肝轻度组、中度组有所上升(P<0.05),但在重度组和乙肝肝硬化组则明显下降(P<0.01).TG在轻度组、中度组、重度组有所上升(P<0.05),在乙肝肝硬化组却明显下降(P<0.01).慢性乙肝各组血清apoA与正常对照组相比较均有不同程度的下降(P<0.05),以乙肝肝硬化组下降最为明显(P<0.01).乙肝肝硬化组血清apoA与PT呈明显负相关(r=-0.99,P<0.01).结论 血清血脂及载脂蛋白的水平可反映肝细胞功能状态,可作为提示慢性乙肝病情严重程度的指标.

关 键 词:慢性乙肝  总胆同醇(TC)  甘油三酯(TG)  载脂蛋白A(apoA)  载脂蛋白B(apoB)

The Clinical Significance of Testing Serum Lipid and Apoliprotein Levels of the Patients with Chronic Hepatitis B
YANG Jin-sun,WANG Chang-sheng,YU Yan-lin.The Clinical Significance of Testing Serum Lipid and Apoliprotein Levels of the Patients with Chronic Hepatitis B[J].Chinese Journal of Clinical Gastroenterology,2009,21(2).
Authors:YANG Jin-sun  WANG Chang-sheng  YU Yan-lin
Institution:YANG Jin-sun,WANG Chang-sheng,YU Yan-lin Department of Infectious Diseases,Yijishan Hospital of Wannan Medical College,Wuhu,241001,China
Abstract:Objective To test the levels of the serum total cholesterol(TC),triglyceride(TG),apoliprotein A(apoA),apoliprotein B(apoB)in the patients with chronic hepatitis B,and evaluate the clinical significance.Methods The levels of TC,TG,apoA and apoB were tested with automatic biochemical analyzer in the patients and the healthy controls.Prothrombin time(PT)was detected at the same time.Results The levels of TC and apoB increased in the gentle degree group and the middle degree group(P<0.05),and decreaed significa...
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