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目的贯彻执行《苏州市托幼机构管理办法》，对苏州东渚地区幼儿入园体检实行规定项目检测，其中针对ALT结果进行详细分析。方法针对500名入园体检的幼儿采用空腹采集末梢血的方式来检测ALT，初次检测ALT结果发现异常的幼儿进行复检，复检空腹采集静脉血。结果3~4周岁的ALT异常病例为14例，占73.68%，4~5周岁的异常病例为5例，占27.32%。3~4周岁组的异常率要高于4~5周岁，病理性因素导致的ALT结果异常为10例，非病理性因素导致的为9例。非病理性因素有包括药物因素、未空腹验血、过度肥胖、运动过量、严重睡眠不足、油腻辛辣食物过多食用等都会导ALT检测结果的暂时性升高。病理性因素包括细菌感染、病毒性感染、支原体感染和遗传代谢病等。结论针对幼儿入园进行ALT检查，有助于对肝功能损伤情况进行检测，对导致肝功能异常的病理性和肺病理性因素进行预防和治疗。“,”Objective To carry out the measures for the administration of suzhou childcare facilities,east of suzhou nagisa area children in a medical practice regulation project detection,with detailed analysis of ALT results in among them.Methods On 500 children in physical examination of peripheral blood col ected on an empty stomach way to detect the ALT,initial test ALT results of abnormal infants to recheck,re-inspection venous blood was col ected on an empty stomach.Results The age of 3~4 ALT abnormal cases in 14 cases,accounted for 73.68%,the abnormal cases are under the age of 3~4 in 5 cases,accounting for 27.32%.4~5 years of age group of abnormal rate is higher than 4~5 years old,ALT abnormal results of 10 cases of pathological factors,non-pathological factors for 9 cases.Non-pathological factors include drugs,not fasting blood tests,obese,sports,serious lack of sleep,greasy spicy food too much to eat,etc wil be temporary elevated ALT test result.Pathological factors including bacterial infection,viral infections,mycoplasma infection and genetic metabolic disease,etc.Conclusion ALT inspections for young children into the park,wil help to test the liver function damage,the cause of abnormal liver function and pathological lung disease rational factors in prevention and treatment.