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肝炎后肝硬化的分期辨证施治体会 被引量:1
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作者 李光 《光明中医》 2007年第9期21-22,共2页
关键词 肝硬化/ 辨治
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不同时期肝硬化患者中医证候与肝脏纤维增生程度的相关性研究 被引量:4
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作者 胡淑文 郭建斌 张均倡 《中西医结合肝病杂志》 CAS 2017年第4期198-200,共3页
目的:研究不同时期肝硬化中医证候与肝脏纤维增生程度的相关性。方法:将肝硬化患者按肝脏代偿情况分为临床前代偿期、临床代偿期、失代偿期3组,利用腹腔镜或开腹手术直视观察肝脏大体形态学改变,获取肝组织并制成玻片,运用体视学软件测... 目的:研究不同时期肝硬化中医证候与肝脏纤维增生程度的相关性。方法:将肝硬化患者按肝脏代偿情况分为临床前代偿期、临床代偿期、失代偿期3组,利用腹腔镜或开腹手术直视观察肝脏大体形态学改变,获取肝组织并制成玻片,运用体视学软件测定肝纤维组织占比,采用描述性统计分析方法对其与肝硬化各中医证型之间相关性进行研究。结果:(1)各组患者肝纤维组织占比依次从临床失代偿期组(26.23±18.14)、临床代偿期组(17.96±11.38)、临床前代偿期组(17.64±10.26)逐渐减少,临床失代偿期组与其他两组比较;差异有显著性意义P<0.05。(2)不同证型的肝硬化患者肝纤维占比依次减少:脾肾阳虚证(42.23±00.00)>肝肾阴虚证(36.71±0.18)>湿热蕴结证(26.17±10.82)>瘀血内阻证(19.20±10.63)>肝气郁结证(15.23±8.18)>水湿内阻证(6.81±4.47),组问比较差异有显著性意义,P<0.05。结论:(1)肝纤维占比可作为肝纤维化程度的量化指标;(2)肝硬化的中医证候与肝脏纤维增生程度有一定内在联系。 展开更多
关键词 肝硬化分期 中医证候 大体形态 肝纤维组织增生
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肝硬化患者凝血酶原时间与血小板检验的临床价值
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作者 刘敏 《中文科技期刊数据库(全文版)医药卫生》 2024年第5期0197-0200,共4页
研析血小板+凝血酶原时间对肝硬化检验价值。方法选取2023-1~2023-10本院确诊为肝硬化患者36例为探究组,根据其是否存在消化道出血分为A组(出血19例)与B组(未出血17例),再依据硬化分期将患者分为代偿期(Ⅰ组21例)与失代偿期(Ⅱ组15例);... 研析血小板+凝血酶原时间对肝硬化检验价值。方法选取2023-1~2023-10本院确诊为肝硬化患者36例为探究组,根据其是否存在消化道出血分为A组(出血19例)与B组(未出血17例),再依据硬化分期将患者分为代偿期(Ⅰ组21例)与失代偿期(Ⅱ组15例);并抽选同期健康人员36名作为参照组,对肝硬化患者与健康人员、消化道是否出血、代偿期与失代偿期患者的凝血酶原时间与血小板检验结果进行记录与比较。结果 与参照组相比,探究组血小板指标降低(升高),且凝血酶原时间延长,(P<0.05)。与B组相比,A组的血小板指标降低(升高),且凝血酶原时间显著延长,(P<0.05)。与Ⅰ组相比,Ⅱ组在血小板指标降低(升高),且Ⅱ组的凝血酶原时间明显延长,(P<0.05)。结论在临床上用于诊断肝硬化的方案众多,其中一种常见的方法是血小板计数结合凝血酶原时间,此检验方案应用价值颇高,有助于提高疾病诊断准确率,分析消化道出血风险性,评估病情严重程度,这对疾病的预防与治疗等方面有着积极影响。 展开更多
关键词 血小板 肝硬化分期 肝硬化 凝血酶原时间 消化道出血
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Lnc-TCL6 is a potential biomarker for early diagnosis and grade in liver-cirrhosis patients 被引量:4
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作者 Lei-Jia Li Xiao-Ying Wu +8 位作者 Si-Wei Tan Zi-Jun Xie Xue-Mei Pan Shun-Wen Pan Wu-Ri-Na Bai Hai-Jiao Li Hui-Ling Liu Jie Jiang Bin Wu 《Gastroenterology Report》 SCIE EI 2019年第6期434-443,I0002,共11页
Background:Long non-coding RNAs(lncRNAs)have been applied as biomarkers in many diseases.However,scarce biomarkers are available in single lncRNA differential expression associated with different clinical stages of li... Background:Long non-coding RNAs(lncRNAs)have been applied as biomarkers in many diseases.However,scarce biomarkers are available in single lncRNA differential expression associated with different clinical stages of liver cirrhosis(LC).The aim of the study is to identify some lncRNAs that can serve as non-invasive sensitive biomarkers for early diagnosis and grade of LC.Methods:Blood lncRNA expression was evaluated in three independent cohorts with 305 participants including healthy controls,hepatitis B virus(HBV)carriers,and patients with chronic hepatitis B(CHB)or LC.First,candidate lncRNAs were screened by CapitalBiotech microarray to diagnose cirrhosis.Quantitative reverse-transcriptase polymerase chain reaction was then used to investigate the expression of selected lncRNAs in the whole group of cirrhosis and different Child–Pugh classes.Ultimately,the diagnostic accuracy of the promising biomarker was examined and validated via Mann–Whitney test and receiver-operating characteristics analysis.Results:Lnc-TCL6 was identified as a sensitive biomarker for early diagnosis of LC(Child–Pugh A)compared with healthy controls(area under the ROC curve[AUC]=0.636),HBV carriers(AUC=0.671),and CHB patients(AUC=0.672).Furthermore,lnc-TCL6 showed a favourable capacity in discriminating among different Child–Pugh classes(AUC:0.711–0.837).Compared with healthy controls,HBV carriers,and CHB patients,the expression of lnc-TCL6 was obviously up-regulated in Child–Pugh A patients and,conversely,significantly down-regulated in Child–Pugh C patients.Conclusions:Lnc-TCL6 is a novel potential biomarker for early diagnosis of LC and is a possible predictor of disease progression. 展开更多
关键词 long non-coding RNAs Lnc-TCL6 BIOMARKER liver cirrhosis Child–Pugh classification
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