肝功能检查与血清学相关指标水平检验在脂肪肝诊断中的应用效果分析(1)
[摘要] 目的 研究探討分析在脂肪肝诊断中使用肝功能检查与血清学相关指标水平检验的效果。方法 于2018年1月—2019年12月便利选择106例该院收治的脂肪肝患者设为观察组，并选择同时期在该院体检的110名健康体检者为对照组，对两组受检者均采集空腹静脉血，离心分离血清，检测肝功能检查与血清学相关指标。并且分析两组患者的肝功能与血清学指标(GGT、AST、TB、ALT、TP、ALP、ALB、DBIL、HDL-C、LDL-C、TC、TG)以及观察组的诊断准确率。结果 观察组的GGT、AST、ALT、TB、ALP、DBIL水平升高，TP、ALB水平降低(P<0.05)，TG(1.98±0.49)mmol/L、TC(5.99±1.45)mmol/L、LDL-C(3.51±1.01)mmol/L均比对照组要高，差异有统计学意义(t=12.415、17.079、5.610，P<0.05)，HDL-C(1.25±0.34)mmol/L比对照组低，差异有统计学意义(t=8.374，P<0.05)，观察组使用肝功能检查与血清学相关指标联合检测的诊断准确率高于两种方法单纯诊断，差异有统计学意义(P<0.05)。结论 在脂肪肝诊断中使用肝功能检查与血清学相关指标水平检验，可以有效判断患者是否存在脂肪肝的情况，且肝功能检查与血清学相关指标联合检测的诊断准确率较高，从而对脂肪肝的预防和诊断提供有效的依据。
[关键词] 脂肪肝;肝功能检查;血清学相关指标;病情评估;应用效果;诊断
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2020)08(b)-0183-03
Analysis of the Effect of Liver Function Test and Serological Related Index Level Test in the Diagnosis of Fatty Liver
SHI Su-ying
Department of Laboratory Medicine， Quangang District Hospital， Quanzhou， Fujian Province，362801 China
[Abstract] Objective Explored and analyzed the effect of using liver function tests and serological related index levels in the diagnosis of fatty liver. Methods From January 2018 to December 2019， 106 patients with fatty liver admitted to the hospital were convenient selected as the observation group， and 110 medical examiners with healthy physical examination admitted to the hospital during the same period were selected as the control group. The fasting venous blood of the two groups of subjects was collected， the serum was centrifuged to detect liver function tests and serological related indicators， and analyze the liver function and serological indicators of two groups of patients (GGT， AST， TB， ALT， TP， ALP， ALB， DBIL， HDL-C， LDL-C， TC， TG) and the diagnostic accuracy of the observation group. Results The levels of GGT， AST， ALT， TB， ALP， and DBIL in the observation group increased， and the levels of TP and ALB decreased (P<0.05). TG(1.98±0.49) mmol/L and TC (5.99±1.45) mmol/ L and LDL-C (3.51±1.01) mmol/L are higher than the control group，the difference was statistically significant(t=12.415， 17.079， 5.610，P<0.05)， HDL-C(1.25±0.34) mmol/L lower than the control group，the difference was statistically significant(t=8.374，P<0.05)， the diagnostic accuracy of the combined detection of liver function tests and serological related indicators in the observation group was higher than that of the two methods，the difference was statistically significant(P<0.05). Conclusion The use of liver function test and serology-related index level test in the diagnosis of fatty liver can effectively determine whether the patient has fatty liver， and the diagnostic accuracy of the combined detection of liver function test and serology-related index is high， thus providing an effective basis for the prevention and diagnosis of fatty liver., http://www.100md.com(施素英)
[关键词] 脂肪肝;肝功能检查;血清学相关指标;病情评估;应用效果;诊断
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2020)08(b)-0183-03
Analysis of the Effect of Liver Function Test and Serological Related Index Level Test in the Diagnosis of Fatty Liver
SHI Su-ying
Department of Laboratory Medicine， Quangang District Hospital， Quanzhou， Fujian Province，362801 China
[Abstract] Objective Explored and analyzed the effect of using liver function tests and serological related index levels in the diagnosis of fatty liver. Methods From January 2018 to December 2019， 106 patients with fatty liver admitted to the hospital were convenient selected as the observation group， and 110 medical examiners with healthy physical examination admitted to the hospital during the same period were selected as the control group. The fasting venous blood of the two groups of subjects was collected， the serum was centrifuged to detect liver function tests and serological related indicators， and analyze the liver function and serological indicators of two groups of patients (GGT， AST， TB， ALT， TP， ALP， ALB， DBIL， HDL-C， LDL-C， TC， TG) and the diagnostic accuracy of the observation group. Results The levels of GGT， AST， ALT， TB， ALP， and DBIL in the observation group increased， and the levels of TP and ALB decreased (P<0.05). TG(1.98±0.49) mmol/L and TC (5.99±1.45) mmol/ L and LDL-C (3.51±1.01) mmol/L are higher than the control group，the difference was statistically significant(t=12.415， 17.079， 5.610，P<0.05)， HDL-C(1.25±0.34) mmol/L lower than the control group，the difference was statistically significant(t=8.374，P<0.05)， the diagnostic accuracy of the combined detection of liver function tests and serological related indicators in the observation group was higher than that of the two methods，the difference was statistically significant(P<0.05). Conclusion The use of liver function test and serology-related index level test in the diagnosis of fatty liver can effectively determine whether the patient has fatty liver， and the diagnostic accuracy of the combined detection of liver function test and serology-related index is high， thus providing an effective basis for the prevention and diagnosis of fatty liver., http://www.100md.com(施素英)