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目的用检验学的方法,针对世居藏族和移居汉族,对高原红细胞增多症对肝功能的影响进行分析。方法于2005年,收集在西藏自治区人民医院进行体检的健康的世居藏族和移居汉族的体检报告133位,了解人群的一般体格、血液学、肝功能情况。按照性别和血红蛋白超过警戒线进行分组,用统计学的方法分开比较。结果移居汉族男性的红细胞计数、血红蛋白浓度、总胆红素、间接胆红素明显高于世居藏族男性,而丙氨酸转氨酶低。移居汉族女性只有血红蛋白浓度(HGB)明显高于藏族女性。在男性范围中,血红蛋白超过正常值的男性的间接胆红素和总胆红素明显大于血红蛋白低于正常值的,女性中并无此发现。结论因为缺氧和饮食结构导致了移居汉族和世居藏族之间身体状况的差异。红细胞和血红蛋白的差异对肝功能有影响。女性之间的差异则没有男性之间大。
Objective To analyze the influence of plateau polycythemia on hepatic function by using the method of inspection for the native Tibetan and migrant Han. Methods In 2005, we collected 133 medical reports of healthy native Tibetans and migrants living in the People’s Hospital of Tibet Autonomous Region for physical examination, hematology and liver function. Divided by sex and hemoglobin over the cordon, statistically compared separately. Results The red blood cell count, hemoglobin concentration, total bilirubin and indirect bilirubin in migrant Han men were significantly higher than those in native Tibetan men, while the alanine aminotransferase was low. Only migrant Han women with hemoglobin concentration (HGB) was significantly higher than Tibetan women. In men, indirect bilirubin and total bilirubin were significantly higher in hemoglobin than normal for men whose Hb values were below normal, not found in women. Conclusions Because of hypoxia and dietary structure, the difference in physical condition between the migrants and the native Tibetans has been caused. Differences between red blood cells and hemoglobin have an effect on liver function. The difference between women is not large between men.