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目的:探讨肝炎后肝硬化患者血清白蛋下降的规律,为低血清白蛋白的鉴别诊断提供依据。方法:将215例肝炎后肝硬化患者的临床资料输入统计软件包。结果:发现肝病病程长短及肝功能异常的频率是影响患者血清白蛋白水平的两个重要因素。门脉内径及脾脏大小与血清白蛋白水平无显著相关性,但血清白蛋白25g/L～29g/L组患者中,二者与血清白蛋白均具有显著意义的负相关。此外,我们还分析了肝炎后肝硬化患者血清白蛋白下降的速度及单纯肝炎后肝硬化患者最低血清白蛋白阀值水平。结论:慢性肝病患者病程长短及肝功能异常的频率是评价肝硬化发展及预后的重要参考因素。
Objective: To investigate the rule of serum white egg drop in patients with posthepatitic cirrhosis and provide the basis for the differential diagnosis of low serum albumin. Methods: The clinical data of 215 patients with posthepatitic cirrhosis were input into the statistical software package. Results: It is found that the frequency of liver disease duration and abnormal liver function are two important factors affecting serum albumin level in patients. There was no significant correlation between portal vein diameter and spleen size and serum albumin level. Serum albumin was significantly negatively correlated with serum albumin in 25g / L ~ 29g / L group. In addition, we also analyzed the rate of serum albumin decline in patients with posthepatitis cirrhosis and the lowest serum albumin threshold in patients with posthepatitic cirrhosis alone. Conclusion: The duration of disease and the frequency of abnormal liver function in patients with chronic liver disease are important reference factors to evaluate the development and prognosis of liver cirrhosis.