摘要
目的总结酒精性肝病（ALD）合并乙肝病毒（HBV）感染的临床特点、肝功能指标及治疗转归等特征.方法选择 68 例单纯ALD患者为单纯酒肝组, 65 例单纯HBV感染患者为单纯乙肝组,65例ALD合并HBV感染患者为合并组.采集患者的临床表现、肝功能指标,并予以对比分析.同时,对比分析三组患者治疗前后肝功能指标的变化情况.结果合并组患者乏力、纳差、黄疸、消化道出血、肝性脑病及肝硬化的发生率均高于单纯酒肝组和单纯乙肝组（P 均 〈0.05）;合并组患者ALT、 AST、 ALP、GGT、 TBIL指标值均高于单纯酒肝组和单纯乙肝组（P均〈0.05）.同时,治疗后,合并组患者ALT、 AST、 ALP、GGT、 TBIL 指标值仍均高于单纯酒肝组和单纯乙肝组（P 均 〈0.05）.结论酒精性肝病合并肝炎病毒感染易加重病情,降低肝功能,且降低治疗效果.
objectiveto summarize alcoholic liver disease （ALD） of the clinical features of hepatitis b virus （HBV） infection, liver function index and the treatment outcome. Methods 68 cases of simple ALD group, 65 cases of patients with HBV group, 65 cases of ALD patients with HBV group. The clinical manifestations of the patients, liver function index, and comparative analysis. Resultspatients lack of power, the incidence of hepatic encephalopathy and liver cirrhosis were higher than pure alcohol liver and pure hepatitis b group （P 〈 0.05）; Merge patients ALT, AST, ALP, GGT, TBIL parameter values were higher than pure alcohol liver and pure hepatitis b group （P 〈 0.05）. At the same time, after treatment, the merged group patients ALT, AST, ALP, GGT, TBIL parameter values were still higher than that of pure alcohol liver and pure hepatitis b group （P 〈 0.05）. Conclusionalcoholic liver disease complicated by hepatitis b virus infection is aggravating illness, reduce the liver function, and reduce the treatment effect.
出处
《湖南中医药大学学报》
CAS
2016年第A01期353-353,共1页
Journal of Hunan University of Chinese Medicine
关键词
酒精性肝病
合并
肝功能
alcoholic liver disease
Merger
Liver function
