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1 材料和方法 1.1 材料 非酒精性失代偿期肝硬变患者30例,男女之比为27:3,平均年龄为(47.73±12.33)岁,均为慢性乙型肝炎所致。少数患者偶有饮酒,且每日或每次量少于50g纯酒精,酒精性肝病患者40例,均为男性,平均年龄(41.12±15.67)岁,其中脂肪肝20例、肝炎10例、肝硬变10例,其诊断标准和酒精换算方法参考文献[1],除脂肪肝外,其余均为住院患者。 1.2 方法 ①血生化检测:主要测定ALT,AST,ALP,r-GT,TBiL,TBA(总胆酸),TP,Alb,血脂和各型肝炎病毒血清标志物等。②脑CT(螺旋CT)检查。③四肢肌电图检查:采用海军医学研究所生产的肌电图系统,主要测定肘正中神经、腓神经的运动神经传导速度(MCV)和感觉神经传导速度(SCV)等,其中测定MCV的刺激部位是腕-肘和踝-膝,记录部位分别为拇短展肌和趾短伸肌;测定SCV的刺激部位分别是中指和足背,
1 Materials and Methods 1.1 Materials 30 patients with non-alcoholic decompensated cirrhosis, male to female ratio of 27: 3, the average age was (47.73 ± 12.33) years, are due to chronic hepatitis B. A small number of patients with occasional alcohol consumption, and daily or less than 50g of pure alcohol, alcoholic liver disease in 40 patients, both men, mean age (41.12 ± 15.67) years, of which 20 cases of fatty liver, hepatitis 10 cases, liver Hard change in 10 cases, the diagnostic criteria and alcohol conversion method reference [1], in addition to fatty liver, the rest are hospitalized patients. 1.2 Methods ① blood biochemical detection: the main determination of ALT, AST, ALP, r-GT, TBiL, TBA (total cholic acid), TP, Alb, blood lipids and various hepatitis virus serum markers. ② brain CT (spiral CT) examination. EMG examination of the limbs: The electromyography system manufactured by Naval Medical Research Institute was used to determine the motor nerve conduction velocity (MCV) and sensory nerve conduction velocity (SCV) of the median nerve and the common peroneal nerve. The MCV stimulation The site is the wrist - elbow and ankle - knee, abercrombie and fitch deutschland, the recording site were the abductor hallucis and extensor phalangeal extensor; determination of SCV stimulation sites were the middle finger and dorsalisis,