前白蛋白在评估不同程度酒精性肝病中的作用.docVIP

前白蛋白在评估不同程度酒精性肝病中的作用 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：前白蛋白在评估不同程度酒精性肝病中的作用 1 1　对象和方法 2 2　结果 3 3　讨论 4 文2：酒精性肝病临床治疗分析 5 1资料与方法 6 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 9 正文 前白蛋白在评估不同程度酒精性肝病中的作用 文1：前白蛋白在评估不同程度酒精性肝病中的作用 The Function of Prealbumin in Evaluating Alcoholic Liver Disease(ALD) Abstract:Objective In order to confirm clinical pathologic attribution of ALD，and to identify with other hepatopathy．We studied the function of prealbumin in evaluation of alcoholic fatty liver,alcoholic hepatitis，alcoholic cirrhosis．Methods In accordance with clinical diagnosis criteria of ALD(discussion manuscript)formulated by the branch of Adiposis Hepatica and Alcoholic Liver Disease Chinese Society of Hepatology Chinese Medical Association，we selected sixtyfive patient．Then we measured prealbumin(PA)in their serum．Results In chronic peistant hepatitis，alcoholic fatty liver，alcoholic hepatitis and alcoholic cirrhosis，the content of ALT,AST and GGT was not significant different．In Alcoholic fatty liver and alcoholic hepatitis，the content of PA was not decreased significantly．However，PA was decreased significantly in alcoholic cirrhosis and chronic active hepatitis．Conclusion We could check PA when the content of ALT,AST and GGT was all increased，but we could not judge which of them was increased in patient drinking for along time．Patient whose PA was normal could suffer from alcoholic fatty liver．They can becured by stoping drinking．Patient whose PA was decreased significantly could suffer from hepatic cirrhosis and chronic peistant hepatitis．In order to cure they shoud be checked other item． Key words：Prealbumin;Alcoholic liver disease;Chronic active hepatitis 酒精中毒(alcoholism)系指饮酒所致的精神和躯体障碍,我国酒精中毒的发病率比西方国家为低，但近年来其发病率似有增高趋势，如何界定慢性迁延性肝炎、酒精性脂肪肝、酒精性肝炎、酒精性肝硬化各国的临床诊断标准不同，中华医学会肝病学分会脂肪肝和酒精性肝病学组也制定了酒精性肝病临床诊断标准(讨论稿)，本试验通过对65例酒精性肝病患者进行PA测定来探讨其与酒精性肝病的关系。 1　对象和方法 对象　2005／2006选有5 a以上饮酒史，外周血病毒标记检验结果甲、乙、丙、丁、戊、庚肝均为阴性，ALT,AST，GGT均升高的患者65例，其中酒精性脂肪肝37例，酒精性肝炎21例，酒精性肝硬化5例，以上