摘要
目的研究重型肝炎的各种预后因素的重要性。方法选择2000年1月至2004年12月我院收治的重型肝炎患者358例,分为好转治愈组和恶化死亡组,将两组的临床资料进行单因素和多因素分析。结果两组之间在凝血酶原活动度、肝性脑病、总胆红素和天冬氨酸氨基转移酶/丙氨酸氨基转移酶等方面有显著性差异(P<0.05)。结论凝血酶原活动度、肝性脑病、总胆红素和天冬氨酸氨基转移酶/丙氨酸氨基转移酶比值等可以作为判断重型肝炎预后的指标,对指导临床有一定价值。
Objective To analyze the prognostic factors for patients with severe hepatitis. Methods We selected 358 patients with severe hepatitis in our hospital from January 2000 to December 2004. The patients were divided into improved group and deteriorated group. The clinical data were analyzed by using chi square test and logistic regression. Result The prothrombin time activity （PTA）, hepatic eneephalopathy, total bilirubin （TB） and AST/ALT ratio were sig nifieantly different between the two groups （P〈0. 05）. Conclusion PTA, hepatic eneephalopathy, TB and AST/ALT ratio are valuable in predicting patients with severe hepatitis and may be useful to guide clinical treatment.
出处
《实用肝脏病杂志》
CAS
2006年第2期73-75,共3页
Journal of Practical Hepatology
