病毒性脑炎血清酶学水平变化的临床意义分析

Clinical significance of changes of serum enzyme levels of viral encephalitis patients

目的探讨病毒性脑炎血清酶学变化的临床意义。方法选择某医院入住的病毒性脑炎患者60例做研究组,抽取静脉血2 mL,抽取时间应为次日晨起,空腹。对天门冬氨酸氨基转移酶(AST)、碱性磷酸酶(ALP)、丙氨酸氨基转移酶(ALT)、γ谷氨酰基转移酶(γ-GT)、肌酸激酶同工酶(CK-MB)、乳酸脱氢酶(LDH)、肌酸激酶(CK)、α-羟丁酸脱氢酶(α-HBDH),进行检测,并与80例对照组头痛患者同类酶检测结果进行比较。结果病毒性脑炎组血清酶学变化异常检出率为65%,对照组血清酶学检出率是27%,2组比较差异有统计学意义(P<0.05)。结论对血清酶学进行测定在病毒性脑炎的鉴别和早期诊断上有重要帮助意义。

Objective To explore the clinical significance of changes of serum enzyme levels of viral encephalitis patients. Methods A total of 60 patients with viral encephalitis were selected as an observation group and 80 headache patients as a control group. Serum aspartate aminotransferase （AST）, alkaline phosphatase （ALP）, alanine aminotransferase （ALT）, γ glutamyl acyltransferase （ γ-GT ）, ereatine kinase （ CKMB）, lactate dehydrogenase （LDH）, bone kinase （CK）, and α-hydroxybutyrie acid deaminase （a-HBDH） were detected. The results of the two groups were compared. Results The abnormality of serum enzyme changes was 65 % in the observation group and 27 % in the control group, and there was a significant difference between the two groups （ P 〈 0. 05 ）. Conclusions The detection of serum enzymes is very significant in the identification of viral encephalitis and early diagnosis.