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酒精性脂肪肝与非酒精性脂肪肝患者生化指标的对比分析
引用本文:李玉华,姚华,徐菲莉,王先敏,王秋云.酒精性脂肪肝与非酒精性脂肪肝患者生化指标的对比分析[J].新疆医科大学学报,2005,28(5):391-393.
作者姓名:李玉华  姚华  徐菲莉  王先敏  王秋云
作者单位:1. 新疆医科大学公共卫生学院劳动卫生与环境卫生学教研室,新疆,乌鲁木齐,830054
2. 新疆医科大学附属中医医院,新疆,乌鲁木齐,830000
摘    要:目的:探讨酒精性脂肪肝与非酒精性脂肪肝特异性的鉴别指标.以指导临床诊断。方法:对38例酒精性脂肪肝患者及151例非酒精性脂肪肝患者的血清酶、血脂、尿酸、血糖、红细胞压积等指标进行测定及分析。结果:酒精性脂肪肝组谷草转氨酶(AST)、谷草转氨酶/谷丙转氨酶(AST/ALT02)、γ-谷氨酰转肽酶(GGT)、尿酸(UA)异常的百分数分别为73.7%、34.2%、47.4%、60.5%。非酒精性脂肪肝组分别为27.8%、14.6%、20.5%、35.1%。两组相比差异有统计学意义。结论:AST、AST/ALT(≥2)、GGT、UA等指标可能是鉴别酒精性脂肪肝与非酒精性脂肪肝有效的临床辅助诊断指标。

关 键 词:酒精性脂肪肝  非酒精性脂肪肝  生化指标
文章编号:1009-5551(2005)05-0391-03
修稿时间:2004年8月25日

Comparison of serum biochemicals between alcoholic fatty liver and nonalcoholic fatty liver
LI Yu-hua,YAO Hua,XU Fei-li,et al.Comparison of serum biochemicals between alcoholic fatty liver and nonalcoholic fatty liver[J].Journal of Xinjiang Medical University,2005,28(5):391-393.
Authors:LI Yu-hua  YAO Hua  XU Fei-li  
Abstract:Objective: To find specific and sensitive indexes to differentiate nonalcoholic fatty liver disease(NAFLD) from alcoholic fatty liver disease(AFLD) for clinic diagnose. Method: 38 AFLD patients and 151 NAFLD patients were given Serum biochemicals determination and analysis . Result: The higher abnormalities of AST levels (73.7%), AST/ALT more than 2(34.2%), GGT levels (47.4%), UA levels (60.5%) were found in patients with AFLD than those with NAFLD (27.8%, 14.6%, 20.5%, 35.1% respectively). Conclusion: AST, AST/ALT, GGT, UA might be useful in differentiating NAFL from AFL.
Keywords:alcoholic fatty liver  nonalcoholic fatty liver  biochemicals
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