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目的初步探讨植物神经功能和低钙血症在肝硬化时的变化情况。方法对30例乙肝肝硬化失偿期患者进行3min唾液量、坐位时血压、脉搏间隔、呼吸间隔、体温等指标检测,求出平衡指数Y—。结果与结论(1)肝硬化B级Y—值异常率38·46%,C级为64·71%,提示植物神经异常率越高,肝脏损害越严重。(2)肝硬化B级和C级间低钙血症改变有差异性,提示钙离子越低,肝脏损害越严重。(3)低钙血症纠正后Y—值异常率与治疗前有所降低,提示纠正低钙血症后植物神经功能病变可能得到改善。
Objective To investigate the changes of autonomic nerve function and hypocalcemia during cirrhosis. Methods Thirty patients with decompensated cirrhosis of liver cirrhosis were measured for saliva for 3 minutes. Blood pressure, pulse interval, respiration interval and body temperature were measured. The balance index (Y-) was calculated. RESULTS AND CONCLUSION: (1) The grade B Y-value of abnormal liver cirrhosis was 38.46% and the grade C was 64.71%, which suggested that the higher the abnormal rate of autonomic nerve, the more severe liver damage. (2) There is difference in the changes of hypocalcemia between grade B and C in cirrhosis, suggesting that the lower the calcium is, the more severe the liver damage. (3) The corrected Y-value abnormality rate of hypocalcemia was lower than that before treatment, suggesting that the autonomic dysfunction may be improved after hypocalcemia.