目的:比较乙型肝炎表面抗原(hepatitis B surface antigen,HBsAg)、胆碱酯酶(cholinesterase,CHE)和吲哚氰绿15min滞留率(indocyanine green retention rate at 15min,ICGR15)在慢性乙型肝炎组、肝硬化代偿组、肝硬化失代偿组的水平,并...目的:比较乙型肝炎表面抗原(hepatitis B surface antigen,HBsAg)、胆碱酯酶(cholinesterase,CHE)和吲哚氰绿15min滞留率(indocyanine green retention rate at 15min,ICGR15)在慢性乙型肝炎组、肝硬化代偿组、肝硬化失代偿组的水平,并研究3者之间的相关性.方法:观察95例慢性乙型肝炎病毒感染患者,按病情分为慢性乙型肝炎组、肝硬化失代偿组和肝硬化代偿组3组.分别检测血清HBsAg、CHE、ICGR15,评价3组间观察指标的差异及相关性.结果:3组间HBsAg水平3.44lgIU/mL±0.55lgIU/mL、3.14lgIU/mL±0.39lgIU/mL、2.76lgIU/mL±0.55lgIU/mL有显著差异(P<0.05);慢性乙型肝炎组与肝硬化失代偿组CHE(6631.37U/L±1907.18U/Lvs4838.51U/L±2134.35U/L,P<0.05)、ICGR15(9.77%±5.57%vs27.69%±13.30%,P<0.05)有显著性差异.相关分析显示各组间CHE和ICGR15均呈负相关,r分别为-0.401、-0.625、-0.444,P<0.05;肝硬化代偿组和失代偿组HBsAg与CHE呈正相关,r分别为0.449、0.407,P<0.05;肝硬化代偿组和失代偿组HBsAg与ICGR15呈负相关,r分别为-0.498、-0.757,P<0.05.结论:随着乙型肝炎向肝硬化进展,HBsAg、CHE水平逐渐降低,ICGR15水平逐渐升高.肝硬化阶段HBsAg与ICGR15呈负相关,与CHE呈正相关,提示HBsAg可能与肝脏残余有效肝细胞量呈正比.且肝硬化阶段CHE和ICGR15呈负相关,因此一定程度上可通过HBsAg、CHE来反映肝硬化患者ICGR15水平.展开更多
文摘目的:比较乙型肝炎表面抗原(hepatitis B surface antigen,HBsAg)、胆碱酯酶(cholinesterase,CHE)和吲哚氰绿15min滞留率(indocyanine green retention rate at 15min,ICGR15)在慢性乙型肝炎组、肝硬化代偿组、肝硬化失代偿组的水平,并研究3者之间的相关性.方法:观察95例慢性乙型肝炎病毒感染患者,按病情分为慢性乙型肝炎组、肝硬化失代偿组和肝硬化代偿组3组.分别检测血清HBsAg、CHE、ICGR15,评价3组间观察指标的差异及相关性.结果:3组间HBsAg水平3.44lgIU/mL±0.55lgIU/mL、3.14lgIU/mL±0.39lgIU/mL、2.76lgIU/mL±0.55lgIU/mL有显著差异(P<0.05);慢性乙型肝炎组与肝硬化失代偿组CHE(6631.37U/L±1907.18U/Lvs4838.51U/L±2134.35U/L,P<0.05)、ICGR15(9.77%±5.57%vs27.69%±13.30%,P<0.05)有显著性差异.相关分析显示各组间CHE和ICGR15均呈负相关,r分别为-0.401、-0.625、-0.444,P<0.05;肝硬化代偿组和失代偿组HBsAg与CHE呈正相关,r分别为0.449、0.407,P<0.05;肝硬化代偿组和失代偿组HBsAg与ICGR15呈负相关,r分别为-0.498、-0.757,P<0.05.结论:随着乙型肝炎向肝硬化进展,HBsAg、CHE水平逐渐降低,ICGR15水平逐渐升高.肝硬化阶段HBsAg与ICGR15呈负相关,与CHE呈正相关,提示HBsAg可能与肝脏残余有效肝细胞量呈正比.且肝硬化阶段CHE和ICGR15呈负相关,因此一定程度上可通过HBsAg、CHE来反映肝硬化患者ICGR15水平.
基金supported by the National Natural Science Foundation(H.G.)of USA(No.0817940)the Foundation of China Scholarship Council(No.201408370020)+1 种基金the National Natural Science Foundation of China(No.20903063)the Postdoctoral Foundation of Shandong Agricultural University of China(No.76335)~~