Clinical analysis of 218 patients with alcoholic liver disease
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摘要: 目的分析我院2000~2010年收治的218例酒精性肝病患者的临床资料,研究其临床特点及危险因素。方法共纳入218例患者,复习病史并分析饮酒史、临床表现、肝功能及影像学检查等。结果酒精性肝病发病率有上升趋势,尤其酒精性肝硬化(AC)患者逐年增多,41~50岁为好发年龄。AC组饮酒时间长于酒精性脂肪肝(AFL)组及酒精性肝炎(AH)组,三组比较差异有统计学意义。AFL、AH及AC组AST、ALT、AST/ALT、GGT及ALP水平比较差异有统计学意义,AFL、AH及AC组A/G、TBil及总胆固醇(TC)水平比较差异有统计学意义。结论酒精性肝病病情和预后与长期饮酒史(包括饮酒量、饮酒时间)有关。发病有逐年增多、年轻化趋势。对于有饮酒嗜好的患者,应定期对AST/ALT、GGT、ALP、A/G、TBil、TG及TCL等生化指标监测,从而争取早期诊断、早期治疗、改善预后。Abstract: Objective To analyze the clinical data of 218 in-patients with alcoholic liver disease (ALD) in the First Affiliated Hospital of Dalian Medical University between 2000 and 2010, and to study the clinical characteristics and risk factors. Methods The clinical data of 218 patients with ALD were analyzed statistically, which included history of alcohol intake, clinical manifestations, liver function tests and radiology results and so on. Results The morbidity of ALD, especially alcoholic liver cirrhosis is increasing annually with the peak incidence occurring in the age group from 21 to 40 years old. AC group have longer drinking duration than that of AFL group and AH group, and there is significant difference among the three groups. Analysis of variance is used to compare level of AST, ALT, AST/ALT, GGT, ALP, A/G, TBil and TC among AFL, AH and AC group, and their statistical difference is significant. Conclusion The severity and prognosis of ALD may be related to the long-term alcohol abuse history (including the amount and duration of drinking) . There is a tendency to increase annually and younger patients are more affected. AST/ALT, GGT, ALP, A/G, TBil, TG and CHOL should be detected periodically in patients with alcohol addiction in order to diagnose and treat earlier, to improve their prognosis.
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Key words:
- liver disease /
- alcoholic
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