中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
16期
2437-2438
,共2页
血清-腹水白蛋白梯度%肝硬化%高血压,门静脉%食管和胃静脉曲张%胃肠出血
血清-腹水白蛋白梯度%肝硬化%高血壓,門靜脈%食管和胃靜脈麯張%胃腸齣血
혈청-복수백단백제도%간경화%고혈압,문정맥%식관화위정맥곡장%위장출혈
Serum-ascites albumin gradient%Liver cirrhosis%Hypertension,portal%Esophageal and gastric varices%Gastrointestinal hemorrhage
目的 探讨血清-腹水白蛋白梯度(SAAG)与食管胃底静脉曲张破裂出血的关系.方法 测定34例肝硬化腹水患者SAAG值并行胃镜检查以了解有无食管胃底静脉曲张,以11g/L为界将34例患者分为高SAAG组及低SAAG组,采用Pearson相关分析法分析SAAG与食管胃底静脉曲张之间的关系.34例患者中并发食管胃底静脉曲张破裂出血者10例,非出血者24例,测定两组患者的SAAG值并进行比较.结果 30例高SAAG患者中22例有食管胃底静脉曲张,而4例低SAAG患者均无食管胃底静脉曲张.SAAG与食管胃底静脉曲张存在正相关(r=0.81,P＜0.01)；10例出血组患者SAAG值为(24.18±7.36) g/L,24例非出血组患者其SAAG值为(18.19±6.18) g/L,两组差异有统计学意义(P＜0.05).结论 SAAG与门脉压力密切相关,对预测门脉相关性食管胃底静脉出血有一定临床价值.
目的 探討血清-腹水白蛋白梯度(SAAG)與食管胃底靜脈麯張破裂齣血的關繫.方法 測定34例肝硬化腹水患者SAAG值併行胃鏡檢查以瞭解有無食管胃底靜脈麯張,以11g/L為界將34例患者分為高SAAG組及低SAAG組,採用Pearson相關分析法分析SAAG與食管胃底靜脈麯張之間的關繫.34例患者中併髮食管胃底靜脈麯張破裂齣血者10例,非齣血者24例,測定兩組患者的SAAG值併進行比較.結果 30例高SAAG患者中22例有食管胃底靜脈麯張,而4例低SAAG患者均無食管胃底靜脈麯張.SAAG與食管胃底靜脈麯張存在正相關(r=0.81,P＜0.01)；10例齣血組患者SAAG值為(24.18±7.36) g/L,24例非齣血組患者其SAAG值為(18.19±6.18) g/L,兩組差異有統計學意義(P＜0.05).結論 SAAG與門脈壓力密切相關,對預測門脈相關性食管胃底靜脈齣血有一定臨床價值.
목적 탐토혈청-복수백단백제도(SAAG)여식관위저정맥곡장파렬출혈적관계.방법 측정34례간경화복수환자SAAG치병행위경검사이료해유무식관위저정맥곡장,이11g/L위계장34례환자분위고SAAG조급저SAAG조,채용Pearson상관분석법분석SAAG여식관위저정맥곡장지간적관계.34례환자중병발식관위저정맥곡장파렬출혈자10례,비출혈자24례,측정량조환자적SAAG치병진행비교.결과 30례고SAAG환자중22례유식관위저정맥곡장,이4례저SAAG환자균무식관위저정맥곡장.SAAG여식관위저정맥곡장존재정상관(r=0.81,P＜0.01)；10례출혈조환자SAAG치위(24.18±7.36) g/L,24례비출혈조환자기SAAG치위(18.19±6.18) g/L,량조차이유통계학의의(P＜0.05).결론 SAAG여문맥압력밀절상관,대예측문맥상관성식관위저정맥출혈유일정림상개치.
Objective To study the relationship between serum-asicites albumin gradient(SAAG) and the portal hypertensive ascites in order to appreciate the value of SAAG on the prediction of esophageal-gastric fundus variceal bleeding.Methods 34 patients with cirrhotic ascites were examined with endoscopy.The patients were classified as high-gradient group and low-gradient group by the SAAG value of 11g/L.The relationship between SAAG and esophageal-gastric fundus varices was studied by Pearson correlation analyasis.Among the 34 patients studied,10 patients had esophageal-gastric fundus variceal bleeding and 24 patients had no esophageal-gastric fundus variceal bleeding.Results In the 30 patients classified as high-gradient group,22 patients had esophageal-gastric fundus variceas.In the 4 patients classified as low-gradient group,no patient had esophageal-gastric fundus variceas.The results showed the direct correlation between the level of SAAG and the degree of esophageal-gastric fundus variceas ( r =0.81,P ＜0.01 ).The mean level of SAAG in bleeding group,consisting 10 patients,was (24.18 ±7.36) g/L.The mean level of SAAG in non-bleeding group,consisting 24 patients,was ( 18.19 ± 6.18)g/L.The results showed sig nificant difference between the bleeding group and non-bleeding group(P ＜0.05).Conclusion There is correlation between the level of SAAG and the portal venous pressure.The level of SAAG is valueable on the prediction of esophageal-gastric fundus variceal bleeding.
