肝炎肝硬化诊断中肝功能四项联合检测的临床应用

Clinical Application of Four Combined Tests of Liver Function in the Diagnosis of Hepatitis Cirrhosis

目的:分析肝炎肝硬化诊断中肝功能四项联合检测的临床应用效果。方法:选取2017年1月-2018年12月在笔者所在医院就诊的50例疑似肝炎肝硬化患者设为A组,将同期进行体检的52例健康受检者设为B组,均接受肝功能四项联合检测,并分析检测结果。结果:A组血清白蛋白、胆碱酯酶水平均低于B组,血清总胆红素、总胆汁酸水平均高于B组,差异均有统计学意义(P<0.05);四项联合检测的灵敏度、准确率均高于单项检测(P<0.05)。结论:将肝功能四项联合检测应用于肝炎肝硬化患者中,可有效对病情做出诊断,检测灵敏度、准确率较高,可作为诊断肝炎肝硬化的重要辅助手段。

Objective: To analyze the clinical application effect of four combined tests of liver function in the diagnosis of hepatitis cirrhosis. Method: From January 2017 to December 2018 in our hospital, 50 patients with suspected hepatitis cirrhosis were selected as the group A, and during the same period, 52 healthy subjects who underwent physical examination were selected as the group B, and all the subjects were tested by the four combined tests of liver function, and the test results were analyzed. Result: Serum albumin and cholinesterase levels in the group A were lower than those of the group B, and serum total bilirubin and total bile acid levels were higher than those of the group B, and the differences were statistically significant(P<0.05). The sensitivity and accuracy of the four combined tests were higher than those of the single test(P<0.05). Conclusion: The application of four combined tests of liver function in patients with suspected hepatitis cirrhosis can effectively diagnose the disease, with high sensitivity and accuracy, which can be used as an important auxiliary means in clinical diagnosis of hepatitis cirrhosis.