外感发热预后与PA、A/G、TC、Apo-B关系初探

Clinical Study on Relation between Prognoses of Exogenous Fever and PA, A/G,TC,Apo- B in Plasma

目的探讨外感发热预后(痊愈、复热、遗热)与相关血生化指标(PA、A/G、TC、Apo-B)的关系,为临床提供诊疗思路。方法对外感发热患者进行中西医结合治疗并于治疗前检测其前白蛋白(PA)、白球蛋白比值(A/G)、总胆固醇(TC)、载脂蛋白B(Apo-B)水平。结果与正常值比较,痊愈者(53例)PA正常,A/G、TC、Apo-B显著降低;复热者(6例)4项指标均降低,以PA、A/G降低更为明显;遗热者(4例)4项指标均降低,以TC、Apo-B降低更为明显,复热者TC较痊愈者差异无显著性,而遗热者TC较前两者均显著降低。结论外感发热患者血蛋白、血脂多降低,其中PA水平正常者预后良好,蛋白降低明显者预后多为复热,血脂降低明显者预后多为遗热,临床诊治外感发热时当注意这一生化指标的水平。

Objective: To atudy the relation between prognoses of Exogenous Fever (recovery,fever relapse,remaining fever)and the relative blood biochemical indexes (PA,A/G,TG,Apo- B). Methods:Tested the PA,A/G,TC and Apo- B before treatment,the Exogenous Fever patients were treated with combined use of TCM and WM therapy. Results:In the recovery group,PA was normal,A/G,TC,Aop- B were remarkably reduced,contrasting to the normal indexes. In fever relapse group,the four indexes were all reduced,the PA,A/G were lower. In remaining fever group(4 caese),the four indexes were also reduced,the PA,A/G were lower.To TC index,there was not different among fever relapse group and recovery group,and significant decrease in remaining fever group.Conclusion:The blood protein and lipid decrease mostly in Exogenous Fever patients.As for the prognoses,ones with normal PA indexes get well recover,with lower protein are mainly fever relapses,and with lower lipid are remaining fever relatively.It is attention to the blood biochemical indexes for clinical diagnosis and treatment to Exogenous Fever.<P>