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頁籤選單縮合
題 名 | 利用半乳醣排除能力評估肝硬化病患的預後=Prognostic Value of Galactose Elimination Capacity in Patients with Cirrhosis Based on a Serial Determination |
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作 者 | 唐鴻舜; 胡幼圃; 吳鳳珍; 楊東和; 胡德民; 趙有誠; | 書刊名 | 醫學研究 |
卷 期 | 16:5 1996.03[民85.03] |
頁 次 | 頁295-305 |
分類號 | 418.241 |
關鍵詞 | 肝硬化; 乙型肝炎; 定量性肝功能; 半乳醣排除能力; 半乳醣單點法; Cirrhosis; HBV; Quantitative liver function test galactose elimination capacity; GEC; Galactose single point; GSP; |
語 文 | 中文(Chinese) |
中文摘要 | 評估肝硬化病人的功能性細胞量及預後,一直是學者所重視與期望的。我們以近年發展的半乳醣排除能力及半乳醣單點法,針對16位肝硬化病人,追蹤評估肝功能變化及觀察其預後。16位病人中男13位女3位,平均年齡49±17.2,在平均2.54±0.32年的追蹤中,半乳醣排除能力測量數65次平均4.3±1.54次。結果顯示:不論以半乳醣排除能力及半乳醣單點濃度,追蹤比較均有顯著變好趨勢(排除能力增加,單點濃度降低)(P<0.001)且與AST、白蛋白值亦有極顯著相關性P<0.001;而另與球蛋白、膽色素值、ALT值也有顯著相關性(P<0.05)。16位病人具乙型肝炎病毒者有10位,若以修飾Child分類,A級10位,B級及C級各3位,其中C級3位,他們的半乳醣排除能力值最低分別為3.95,2.44,3.8mg/min/kg,均在3年內死亡。 初步推論,臺灣乙型肝炎病毒為主的肝硬化在A級病人中病情穩定,不需特別治療。是否半乳醣排除能力值少於4mg/min/kg表示預後差,尚需更多及更長時間評估。 |
英文摘要 | In recent years considerable interest has been paid to dynamic liver function tests, and to measure liver cell mass quantitatively. A better quantification of liver function than qualitative measure might help to predict the prognosis. The present prospective study was based on the data of 16 patients with liver cirrhosis. Among them, 13 were male and 3 were female with a mean age of 49±17.2 yrs. Ten cases were related to hepatitis B virus. Galactose elimination capacity (GEC) and galactose single point method (GSP) were used for measuring residual liver finction every 3 to 6 months. A total of 65 determinations were made with 4.3±1.54 times for each patient. Average follow-up time was 2.5±0.32 yr. The result showed that the GEC and GSP values of these patients highly significantly increased with time (p<0.001). Also significantly positive correlations were observed between GEC, GSP serum alanine aspartate aminotransferase (AST), and albumin (p<0.001). The values of GEC, GSP were also significantly correlated with globulin, bilirubin, serumalanine aminotransferase (ALT) (p<0.05). According to the Child-Pugh classification, 10 liver cirrhosis patients were classified as A, 3 as B, and the rest 3 as C. The GEC values of group C were 3.95, 2.44, 3.8 mg/min/kg and all the 3 cases died within 3 years. It is suggested that liver cirrhosis with HBV positive patients in Child class A, the disease is not progressive in the present study. Whether the GEC<4 mg/min/kg indicates a poor prognosis needs to be further evaluated. |
本系統中英文摘要資訊取自各篇刊載內容。