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目的:探讨肝硬化患者血清钙水平及肝功能的关系。方法:112例肝硬化患者,按Child-Pugh分级标准为A、B、C三级。清晨空腹静脉抽血,测定血钙。结果:肝硬化低钙发生率81.07%(92/112)。肝功能A级组、B级组、C级组的血清钙水平分别为:A级2.01±0.12;B级1.96±0.20;C级1.86±0.24。3组之间存在统计学差异(P<0.01)。结论:肝硬化患者低钙血症发生率高于正常人,其发生与肝功能损害有关,肝功能损害愈重,血钙愈低。血钙浓度可作为判断肝硬化患者肝功能损害程度的指标之一。
Objective: To investigate the relationship between serum calcium level and liver function in cirrhotic patients. Methods: One hundred and twelve patients with cirrhosis were classified as A, B and C according to Child-Pugh criteria. Early morning fasting venous blood, serum calcium determination. Results: The incidence of cirrhosis low calcium 81.07% (92/112). The levels of serum calcium in Grade A, Grade B and C groups were: Grade A 2.01 ± 0.12; Grade B 1.96 ± 0.20; Grade C 1.86 ± 0.24.3 There was a significant difference (P <0.01) ). Conclusion: The incidence of hypocalcemia in patients with cirrhosis is higher than that in normal people. The incidence of liver cirrhosis is related to the damage of liver function. The more severe the liver damage is, the lower the blood calcium is. Calcium concentration can be used as one of the indicators to determine the degree of liver damage in patients with cirrhosis.