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慢性乙肝血清丙氨酸转氨酶活性逆向变化相关因素的研究 被引量:2
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作者 许磊 林楷 李胜联 《世界华人消化杂志》 CAS 2018年第34期1996-2001,共6页
目的探讨慢性乙型病毒性肝炎(慢性乙肝)血清丙氨酸转氨酶(alanine aminotransferase, ALT)活性逆向变化的影响因素.方法将2010-09/2015-09在桂林医学院第二附属医院传染病科住院的516例慢性乙肝患者分为两组,其中,血清ALT活性≤40IU/L... 目的探讨慢性乙型病毒性肝炎(慢性乙肝)血清丙氨酸转氨酶(alanine aminotransferase, ALT)活性逆向变化的影响因素.方法将2010-09/2015-09在桂林医学院第二附属医院传染病科住院的516例慢性乙肝患者分为两组,其中,血清ALT活性≤40IU/L的病例为实验组,血清ALT活性>40 IU/L的病例为对照组.结果慢性乙肝患者血清A L T活性逆向变化率为25.78%(133/516),其中,合并肝硬化患者人群血清ALT活性逆向变化率为51.18%(65/127),显著高于未合并肝硬化患者血清A LT活性逆向变化率17.48%(68/389), P <0.05.与对照组相比,实验组血清白蛋白、直接胆红素、间接胆红素、总胆汁酸、钾离子、钙离子及甘油三酯含量较低, P<0.05,血清球蛋白及尿酸含量较高, P<0.05.多因素logistic回归分析显示,合并肝硬化及血清尿酸含量与血清ALT活性逆向变化呈正相关关系, P<0.05,而血清白蛋白、总胆汁酸、钾离子、钙离子及氯离子含量与血清ALT活性逆向变化呈负相关关系, P<0.05.结论合并肝硬化,血清球蛋白和尿酸含量升高,以及血清白蛋白、直接胆红素、间接胆红素、总胆汁酸、钾离子、钙离子、氯离子及甘油三酯含量等降低是慢性乙型病毒性肝炎患者血清ALT活性逆向变化相关的影响因素,因此,在临床上血清ALT活性与慢性乙肝临床症状不一致时,应同时注意这些因素可能会发生改变. 展开更多
关键词 慢性乙型病毒性肝炎 丙氨酸转氨酶活性 逆向变化.
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Serum γ-glutamyltransferase,alanine aminotransferase,and aspartate aminotransferase activity in Iranian healthy blood donor men 被引量:8
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作者 Hossein Khedmat Farahnaz Fallahian +7 位作者 Hassan Abolghasemi Bashir Hajibeigi Zohre Attarchi Farshid Alaeddini Mohammad Taghi Holisaz Masoumeh Pourali Shahin Sharifi Nasrin Zarei 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第6期889-894,共6页
AIM: To determine serum γ-glutamyltransferase (GGT), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) activity, and to assess their correlation with demographic and clinical findings in healthy bl... AIM: To determine serum γ-glutamyltransferase (GGT), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) activity, and to assess their correlation with demographic and clinical findings in healthy blood donors. METHODS: This cross-sectional study was performed in 934 male blood donors, aged 18 to 68 years, who consecutively attended Tehran blood transfusion service in 2006. All participants were seronegative for HBV or HCV infections, non alcohol users, and all underwent a standard interview and anthropometric tests. Clinical and biochemical parameters including AST, ALT, and GGT activities were determined. Patients taking drugs known to cause hepatic fat deposition were excluded. For AST, ALT, and GGT variables, we used 33.33 and 66.66 percentiles, so that each of them was divided into three tertiles. RESULTS: Mean AST, ALT, and GGT activities were 25.26 ± 12.58 U/L (normal range 5-35 U/L), 33.13 ± 22.98 (normal range 5-35 U/L), and 25.11 ± 18.32 (normal range 6-37 U/L), respectively. By univariate analyses, there were significant associations between increasing AST, ALT, or GGT tertiles and age, body weight, body mass index, and waist and hip circumferences (P < 0.05). By multiple linear regression analyses, ALT was found to be positively correlated with dyslipidemia (B = 6.988, P = 0.038), whereas ALT and AST were negatively correlated with age. AST, ALT, and GGT levels had positive correlation with family history of liver disease (B = 15.763, P < 0.001), (B = 32.345, P < 0.001), (B =24.415, P < 0.001), respectively.CONCLUSION: Although we did not determine the cutoffs of the upper normal limits for AST, ALT, and GGT levels, we would suggest screening asymptomatic patients with dyslipidemia and also subjects with a family history of liver disease. 展开更多
关键词 γ-glutamyltransferase Alanine aminotransrerase Aspartate aminotransferase Blood donor
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