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gan ying hua bu tong zheng xing dui tp alb a/g bi zhi de ying xiang
Author(s): 
Pages: 15-17
Year: Issue:  3
Journal: Research of Traditional Chinese Medicine

Keyword:  肝硬化证型血清蛋白白球蛋白比例;
Abstract: 本文对89例6种证型肝硬化患者血清TP、ALB检测及A/G比值分析结果显示:血清TP、ALB及A/G较正常人下降,以肝郁脾虚型最高,脾肾阳虚和肝肾阴虚型最低,其中肝郁脾虚型各指标和湿热蕴结、气滞血瘀型TP与正常人差异无明显意义(P>0.05),但多与水湿内停、脾肾阳虚和肝肾阴虚型有差异显著性意义(P<0.05和0.01)。研究表明,肝硬化证型不同,肝细胞损害程度不一,随着中医证型变化和病理发展,肝细胞损害、蛋白合成障碍逐渐加重。由于TP、ALB、A/G在证型中逆减呈由代偿期的肝郁脾虚型、湿热蕴结型经气滞血瘀型过渡向失代偿期的水湿内停、脾肾阳虚和肝肾阴虚型发展变化趋势,因此可考虑将TP、ALB、A/G比值等指标作为肝硬化辨证分型诊断的客观依据之一。
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