期刊导航

论文摘要

不同代谢状态慢性乙肝患者肝脏酶学的差异分析

Difference of Liver Enzymes in Different Metabolism States of Chronic Hepatitis B

作者:刘大凤, 陈竹, 曾义岚等

Author:LIU Dafeng, CHEN Zhu, ZENG Yilan. et al

收稿日期:          年卷(期)页码:2017,48(4):570-574

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:慢性乙肝 不同代谢状态 肝脏酶学 差异 分析

Key words:Chronic hepatitis B Metabolism state Liver enzyme Difference Analysis

基金项目:

中文摘要

目的探讨慢性乙型肝炎(CHB)患者不同代谢状态肝脏酶学的差异。方法分析110例CHB不同代谢状态组间丙氨酸氨基转移酶(ALT)、门冬氨酸氨基转移酶(AST)、碱性磷酸酶(ALP)、谷氨酰转肽酶(GGT)的差异。结果ALP、GGT均随着糖代谢状态恶化而明显增加(PPP>0.05)。结论CHB患者糖代谢异常及脂肪肝主要导致ALP、GGT升高,胰岛素抵抗及胰岛β细胞功能减退亦可能导致AST、ALP及GGT升高,其他代谢异常对肝脏酶学无明显影响。

英文摘要

Objective To analyze the difference of liver enzymes in different metabolism state groups of chronic hepatitis B (CHB). Methods We use prospective cross-sectional study to analyze the difference of liver enzymes in different metabolism state groups in 110 cases of CHB, including alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP) and glutamyl transferase (GGT). Results Regardless of the presence or absence of fatty liver, the levels of ALP and GGT were increased along with the deterioration of glucose metabolism (PPP>0.05). Conclusions In CHB, abnormal glucose metabolism and fatty liver can lead to the increase of ALP and GGT. The increase of HOMA-IR and the decrease of HOMA-β may lead to the increase of AST,ALP and GGT. Other metabolism disorder did not show any effect on the level of liver enzymes.

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