ASTALT比值在慢性肝病患者中的特点和判断预后价值.PDFVIP

238 Chinese Hep tology, Aug. 2006, Vol 11, No. 4 论 著 ASTALT 张俊勇 刘吉勇 张福奎 王宝恩 贾继东 ( ASTALT) , ASTALT 534 , ASTALT ( ROC) , ASTALT (MELD) Child-Turcotte-Pugh( CTP) ( CC) ( CS) ; , Spe rm n , , ASTALT ( P 0. 05) ; ASTALT ( P = 0. 852) ASTALT ( P= 0. 000) ; CTP , ASTALT , ABC ASTALT ( P 0. 05) ASTALT MELDCS CC 3 ROC 0. 880. 920. 690. 59, 1 ROC 0. 640. 770. 650. 63; ASTALT MELDCS CC 0. 1850. 2910. 297 ( P = 0. 000) ASTALT ASTALT MELD ASTALT MELDCSCC ; ; ; ; The Characteristics and the Prognostic value of ASTALT Ratios in Chronic Liver Disease ZHANG Jun-yong , LI U Ji- yong , WANG Bao-en, JIA Ji-dong . Department of Digestive Disease , Shan Dong Provin ial H osp ital , Jinan 250021, China Abstract Objective To n lyze the ch r cteristics nd to ssess the prognostic v lidity of the r tio of serum sp rt te minotr nsfer se to l nine minotr nsfer se ( ASTALT r tio) in p tients with chronic liver dise se. Methods The ASTALT r tios of 534 p tients with liver cirrhosis nd prim ry hep tic c rcinom were c lcul ted. Receiver oper ting ch r cteristic curves were used to comp re the prognostic bility of ASTALT r tio nd the model for end-st ge liver dise se ( MELD) , Child-Turcotte-Pugh score nd cl ssific tion for short nd medium term. The rel tionships between them were lso ev lu ted. Results In the p tients with prim ry hep tic c rcinom , the me ns of ASTALT r tios were signific ntly higher th n th t of the me ns of p tients with liver cirrhosis ( P 0. 05) . The me ns of ASTALT r tios were not signific ntly different between the p tients with vir l nd non-vir l liver dise se ( P = 0. 852) . The r tios were signific ntly higher mong p tients who died comp red with