酒精性肝病临床诊治分析

Clinical Analysis of Diagnosis and Treatment of Alcoholic Liver Disease

目的 分析酒精性肝病临床诊治方法。方法 对2014年1~12月我院收治的62例酒精性肝病患者的临床资料进行回顾性分析,总结其临床诊断及治疗措施。结果 本次研究的62例酒精性肝病患者中,酒精性脂肪肝8例,酒精性肝炎45例,酒精性肝硬化9例。入院后经戒酒、护肝等综合治疗,总有效率为95.2%（59/62例）;治疗后患者ALT、AST、GGT等肝功能指标与治疗前比较,差异有统计学意义（P〈0.05）。结论 酒精性肝病主要有酒精性肝炎、酒精性肝硬化及酒精性脂肪肝等,其肝脏损害程度与饮酒时间、饮酒量及饮酒方式关系密切,临床常给予患者戒酒、保肝治疗及营养支持治疗,可有效促进患者恢复。

Objective To analyze diagnosis and treatment methods of alcoholic liver disease. Methods From January to December 2014 of our hospital,clinical data of 62 patients with alcoholic liver disease were retrospectively analyzed and summarized the clinical diagnosis and treatment measures. Results The study of 62 patients with alcoholic liver disease,8 cases of alcoholic fatty liver,alcoholic hepatitis 45 cases, 9 cases of alcoholic liver cirrhosis. After giving up drinking, protecting liver,and other comprehensive treatment,the total effective rate was 95.2%（59/62）. Patients after treatment of ALT,AST,GGT liver function index compared with before treatment,the difference was statistically significant（P〈0.05）. Conclusion Alcoholic liver disease basically have alcoholic hepatitis,alcoholic liver cirrhosis and alcoholic fatty liver. And the degree of liver damage is closely related to alcohol and alcohol drinking time. Clinical often give patients giving up drinking,protecting liver treatment and nutritional support treatment,which can effectively promote patients recover.