CAJ | 학술논문

目的：探讨对各种肝病患者检测血清前白蛋白（PA）的临床意义。方法对我院2011年6月-2013年10月收治的100例门诊和住院各种肝病患者进行PA及血清总蛋白（TP）进行测定，在组间进行对比的同时与同期50例健康者进行以上指标的比较。结果与健康者比较，所有肝病患者PA均有所下降（P<0.05），肝癌及肝硬化PA降低率最高。肝癌及肝硬化的TP与健康组比较有明显下降（P<0.05），急性和慢性肝炎患者TP与健康组无明显差异（P>0.05）。结论 PA的水平是显示肝功能的重要及敏感指标，对诊断和预后有指导意义。
목적：탐토대각충간병환자검측혈청전백단백（PA）적림상의의。방법대아원2011년6월-2013년10월수치적100례문진화주원각충간병환자진행PA급혈청총단백（TP）진행측정，재조간진행대비적동시여동기50례건강자진행이상지표적비교。결과여건강자비교，소유간병환자PA균유소하강（P<0.05），간암급간경화PA강저솔최고。간암급간경화적TP여건강조비교유명현하강（P<0.05），급성화만성간염환자TP여건강조무명현차이（P>0.05）。결론 PA적수평시현시간공능적중요급민감지표，대진단화예후유지도의의。
Objective Study on patients with various liver diseases detection of serum prealbumin (PA) and its clinical signifi-cance. Methods In 200 patients with various liver diseases in our hospital from 2011 June to 2013 October were PA and serum total protein (TP) were measured, comparing the above indexes were compared with the same period in group and 50 healthy sub-jects. Results Compared with healthy subjects, all patients with liver disease PA decreased (P<0.05), Hepatocellular carcinoma and liver cirrhosis PA decrease with the highest rate.TP and the healthy comparison group of hepatocellular carcinoma and cirrhosis patients decreased significantly (P<0.05), acute and chronic hepatitis TP patients and healthy groups had no significant difference (P>0.05). Conclusion PA level is to show an important and sensitive index of liver function, has the guiding significance for the diagnosis and prognosis.