摘要
目的分析重庆某地戊型肝炎的临床特点及预后,为临床防治提供参考。方法回顾性分析重庆市大足区人民医院2005～2013年收治的140例戊型肝炎患者临床特点,并根据性别和年龄进行分组,比较实验室检查结果。结果食欲缺乏、乏力为戊型肝炎患者主要临床表现。戊型肝炎患者中,男性患者发生率高于女性患者,其中又以老年男性患者所占比率最大（54.3%）。男女两组间总胆红素、直接胆红素比较,差异有统计学意义（P〈0.05）。男性中老年组与男性青年组总胆红素、清蛋白、凝血酶原活动度比较,差异有统计学意义（P〈0.05）,女性中老年组与女性青年组总胆红素、直接胆红素比较,差异也有统计学意义（P〈0.05）。结论戊型肝炎患者男性患者比率高于女性,临床表现较女性患者严重。中老年男性患者由于受到性别、年龄双重因素的影响,临床表现最重,易发展为重型肝炎,预后较差。
Objective To analyze the features and prognosis of Hepatitis E in Dazu area of Chongqing .Meth-ods Data of one hundred and forty patients with Hepatitis from 2005 to 2013 were analyzed retrospectively .Accord-ing to different sex and age ,140 patients were divided into different groups ,and laboratory test results were compared among these groups .Results Anorexia and fatigue were main clinical manifestations of Hepatitis E .The rate of in-fecting with Hepatitis E in males was higher than that in females ,that of middle and old males was significant higher than others .The levels of total bilirubin and direct bilirubin were significant different between the males and females （P〈0 .05） .The differences of total bilirubin ,direct bilirubin ,albumin and prothrombin activity were significant be-tween the middle ,old male group and young male group ,the differences also showed in females（P〈0 .05） .Conclusion The rate of infecting with Hepatitis E in males was higher than that in females ,and the symptoms of male was seve-rer than female .because the double effect of sex and age ,the middle and old male patients had sever symptoms and easily changed into sever Hepatitis ,had a poor prognosis .
出处
《检验医学与临床》
CAS
2014年第19期2720-2721,2723,共3页
Laboratory Medicine and Clinic
关键词
戊型肝炎
中老年
临床特点
预后
Hepatitis E
the middle and old
clinical features prognosis
