检验医学 ›› 2012, Vol. 27 ›› Issue (11): 948-950.

• 生物化学检验论著 • 上一篇    下一篇

糖化白蛋白在肝硬化患者中的临床意义

江筱炯,孙先胜,黄亦青,许大俊   

  1. 上海闵盛医疗科技有限公司,上海 201108
  • 收稿日期:2012-05-11 修回日期:2012-05-29 出版日期:2012-11-30 发布日期:2012-11-14
  • 通讯作者: 江筱炯
  • 作者简介:江筱炯,男,1984年生,学士,技师,主要从事肝脏疾病相关的临床生化检验工作。

The clinical significance of glycated albumin for patients with liver cirrhosis

  1. Shanghai Minsheng Medical Technology Co.Ltd.Shanghai 201108China
  • Received:2012-05-11 Revised:2012-05-29 Online:2012-11-30 Published:2012-11-14

摘要: 目的 探讨糖化白蛋白(GA)在肝硬化患者中的变化及其临床意义。方法 采用酶法测定105例肝硬化患者及80名健康体检者血清中糖化白蛋白分值(GA%),同时采用己糖激酶法(HK)测定血糖(Glu)。根据Child-Pugh标准对105例肝硬化患者进行分级,其中A级86例,B+C级19例。比较GA%及Glu在各组中的差异。结果 肝硬化组GA%水平及异常率明显高于正常对照组(P<0.01),而Glu水平及异常率2组间差异无统计学意义(P>0.05)。随着肝病病情的发展,GA%异常率明显上升;而Glu无明显差异。结论 GA%在血糖正常的肝硬化患者中异常增高,且与病情的发展密切相关。

关键词: 糖化白蛋白, 血糖, 肝硬化

Abstract: Objective To investigate the clinical significance and change of glycated albumin(GA) for patients with liver cirrhosis.   Methods The percentage of GA(GA%) and the level of glucose(Glu) in 105 patients with liver cirrhosis and 80 healthy controls were detected by enzyme method and hexokinase(HK) method. A total of 105 patients with liver cirrhosis were classified into 2 groups according to the Child-Pugh criterion,86 patients in Child-Pugh A group and 19 patients in Child-Pugh B+C group. The differences of GA% and Glu between the 2 groups were analyzed. Results GA% increased significantly in liver cirrhosis group,compared with that in control group(P<0.01). There was no statistical significance of the level and abnormal rate of Glu between the 2 groups(P>0.05). Furthermore,along with the progression of liver disease,the abnormal rate of GA% increased obviously,and that of Glu had no significant difference. Conclusions GA% in liver cirrhosis patients with normal Glu increases abnormally and is closely related to the disease progression.

Key words: glycated albumin, glucose, liver cirrhosis