Correlational research of serum ferritin and hyaluronic acid in patients with cirrhosis
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摘要: 目的探讨肝硬化患者血清铁蛋白(SF)与透明质酸(HA)间的相关性。方法 70例肝硬化患者,其中女性16例,男性54例,平均(46.93±13.34)岁,Child-Pugh A级15例,B级19例,C级36例,采用化学发光法检测SF及HA,对SF与HA水平进行统计并分析二者之间的关系。结果 SF在肝硬化中明显增高,随着肝硬化分级的加重,患者的SF也增高,在C级处于最高水平,不同分级间比较差异均有统计学意义(P<0.01)。HA在肝硬化中明显增高,随着肝硬化分级的加重,患者的HA也增高,不同分级之间差异有统计学意义(P<0.01)。不同分级患者的SF与HA呈显著正相关(r=0.828,P<0.001)。结论肝硬化患者中SF与HA有显著相关性,在反映肝硬化程度上SF与HA同等重要,是反映肝纤维化程度的敏感指标。Abstract: Objective To investigate the relationship between serum ferritin (SF) and hyaluronic acid (HA) in patients with cirrhosis.Methods Data of 70 patients with cirrhosis were collected.The average age was 46.93±13.34 years and there were 16 females and 54 males.All the cases were divided into three groups: Child pugh A, B, and C according to Child pugh ranking.Serum SF and HA levels were determined by chemiluminescent immunoassay.Then multiple comparison between groups and the relationship between serum HA levels and HBV DNA levels was analyzed.Results 1.The level of SF increased obviously in the cases with cirrhosis.The serum SF increased gradually according to the progress of the degree of clinical liver cirrhosis and the highest level of HA was observed in the patients with Child pugh C.The significant difference of the HA levels in the patients between grade A and B, B and C, and C and A was observed (P<0.01) .2.The level of HA increased obviously in the cases with cirrhosis.The highest level of SF was observed in the patients with Child pugh C.The significant difference of the HA levels in the patients between grade A and B, B and C, and C and A was observed (P<0.01) .3.SF and HA are significantly correlated in the patients in different grade of cirrhosis (r=0.828, P<0.001) .Conclusions SF and HA are significantly correlated in the patients in different grade of cirrhosis and both of them are important to reflect the level of cirrhosis.They are both sensitive markers of hepatic fibrosis in cirrhosis.
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Key words:
- ferritins /
- hyaluronic acid /
- liver cirrhosis
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[1]张文胜, 王宝恩, 王泰龄, 等.慢性乙型肝炎肝纤维化无创性诊断模型的建立[J].中华肝脏病杂志, 2006, 14 (3) :169-173. [2]姜湘宁, 王功遂, 尹建军.慢性乙型肝炎患者血清HBeAg和HBV DNA水平与肝组织病理关系的探讨[J].实用肝脏病杂志, 2004, 7 (2) :86-88. [3]Halfon P, Bourlière M, Pénaranda G, et al.Accuracy of hyal-uronic acid level for predicting liver fibrosis stages in patientswithhepatitis C virus[J].Comp Hepatol, 2005, 4:6. [4]李秋莲, 高歌, 王立群.血清铁蛋白与肝纤维化指标相关性的实验研究[J].临床肝胆病杂志, 2007, 23 (3) :179-180. [5]中华医学会.慢性乙型肝炎防治指南[J].中华传染病杂志, 2005, 23 (6) :421-431. [6]李增禧, 梁业成, 盛少禹, 等.铁是生命攸关的微量元素[J].广东微量元素科学, 1994, 1 (3) :54-62. [7]戚仁铎.诊断学[M].第4版.北京:人民卫生出版社, 1996:466-468. [8]Dimitrijevi c'J, Bojanic'N, Skaro-Mili c'A, et al.Morphologiccharacteristics of HBV markers and products of iron metabo-lism in liver tissue in patients with hepatitis B virus[J].Vojnosan it Preg, 1993, 49 (5) :477-483. [9]邵飞, 朱凤群, 李春姬.慢性乙型病毒性肝炎血清铁及铁蛋白检测[J].西安交通大学学报:医学版, 2006, 27 (3) :292-294. [10]黄聪武, 白岚, 蔡俊杰, 等.血清铁和铁蛋白与肝病患者肝纤维化指标的关系[J].第一军医大学学报, 2003, 23 (5) :466-468. [11]Tran A, Hastier P, Barjoan EM, et al.Non invasive predic-tion of severe fibrosis in patients with alcoholic liver disease[J].Gastroenterol Clin Biol, 2000, 24 (6-7) :626-630. [12]Guéchot J, Serfaty L, Bonnand AM, et al.Prognostic valueof serum hyaluronan in patients with compensated HCV cir-rhosis[J].J Hepatol, 2000, 32 (3) :447-452. [13]Rosenberg WM, Voelker M, Thiel R, et al.Serum markersdetect the presence of liver fibrosis:a cohort study[J].Gastroenterology, 2004, 127 (6) :1704-1713. [14]Murawaki Y, Ikuta Y, Okamoto K, et al.Diagnostic value ofserum markers of connective tissue turnover for predictinghistological staging and grading in patients with chronic hepa-titis C[J].J Gastroenterol, 2001, 36 (6) :399-406. [15] 李红艺, 董忠, 马红.乙肝肝硬化患者血清HBV DNA与透明质酸的关系[J].中华实验和临床病毒学杂志, 2007, 21 (3) :256-257. [16]姚中吉, 夏吉荣.检测血清铁蛋白在肝损伤评估中的意义[J].中国热带医学, 2004, 4 (3) :336-338.
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