血清胆碱酯酶／转氨酶和总胆汁酸联合检测在肝硬化中的应用

目的：讨论血清胆碱酯酶（CHE）、转氨酶（主要是丙氨酸氨基转移酶ALT和天冬氨酸氨基转移酶AST）和胆汁酸（TBA）联合检测在肝硬化中的应用。方法：选肝硬化患者90名，健康者45名为对照组，测定血清CHE、AST和ALT的活力及TBA的含量，并按照Child-Pugh分级比较。结果：根据实验数据所得肝硬化组和对照组相比较，AST、ALT和TBA均明显升高，而CHE降低，且具有显著性差异。按Child-Pugh分级不同，结果具有显著性差异。结论：CHE、AST、ALT和TBA都是检测肝功能的重要指标，但是单一检测的结果片面，联合检测结果更准确，对于肝硬化疾病的诊断和预后的判断都有着重要的指导意义。

purpose：discussion as alkali ester enzymes （che）, Transaminase （mainly c ammonia the ammonia the enzyme transfers alt and the winter ammonia acid ammonia the enzyme transfers ast） and what makes bile acid （ tba ） joint detection of the liver cirrhosis the application of the patients. method ： cirrhosis 90, healthy person who is 45, serum che the determination and vigour of alt, ast and tba content, and follow the＂ child - pugh levels. the experimental data ： According to the experimental data from the liver cirrhosis and the alt, ast, compared with tba are obvious, and che, and has a significant gender difference. a ＂child - pugh levels, the significant gender difference. the conclusion ：che, ast, alt and tba are detected 肝功能 important indicator, but a single test results and test results, the more precise diagnosis of disease and cirrhosis and the prognosis of judgment have an important guidance.