摘要
目的:探讨血清NGAL联合肾动脉血流阻力指数对早期诊断肝炎肝硬化患者并发肝肾综合征的临床价值。方法:收治肝炎肝硬化并发肝肾综合征患者40例作为A组,收治慢性乙型肝炎患者40例作为B组,选择健康志愿者40例作为C组。比较3组血清NGAL、各级肾动脉RI。结果:3组NGAL、BUN、Scr、Ccr、RI比较,差异有统计学意义(P<0.05)。A组NGAL、BUN、Scr、Ccr、RI水平高于B组、C组,差异有统计学意义(P<0.05)。B组与C组NGAL、BUN、Scr、Ccr、RI水平比较,差异无统计学意义(P>0.05)。3组NGAL、MRARI、SRA RI、IRA RI、CRA RI比较,差异有统计学意义(P<0.05)。结论:血清NGAL联合肾动脉血流阻力指数对早期肝炎肝硬化并发肝肾综合征患者的诊断具有重要的临床意义。
Objective：To explore the clinical value of serum NGAL combined with renal artery flow resistance index in early diagnosis of patients with hepatitis cirrhosis complicated with hepatorenal syndrome.Methods：40 cases of patients with hepatitis cirrhosis complicated with hepatorenal syndrome were selected as group A.40 cases of patients with chronic hepatitis B were selected as group B.40 cases of healthy volunteers were selected as group C.The serum NGAL and RI of the renal arteries at all levels among the three groups were compared.Results：The differences of NGAL,BUN,Scr,Ccr and RI in the three groups were statistically significant（P〈0.05）.The level of NGAL,BUN,Scr,Ccr and RI in group A were higher than those of group B and C,and the difference was statistically significant（P〈0.05）.There was no significant difference in the levels of NGAL,BUN,Scr,Ccr and RI in group B and C group（P〉0.05）.The differences of NGAL,MRARI,SRA RI,IRA RI and CRA RI in the three groups were statistically significant（P〈0.05）.Conclusion：The serum NGAL combined with renal artery flow resistance index were of important clinical significance in the diagnosis of early hepatitis cirrhosis complicated with hepatorenal syndrome.
作者
顾芳
熊朝磊
刘娟
Gu Fang,Xiong Zhaolei,Liu Juan(Department of Nephrology,the Fifth People’s Hospital of Chengdu City（Sichuan Province）,610000)
出处
《中国社区医师》
2018年第17期116-117,119,共3页
Chinese Community Doctors
关键词
肾动脉血流阻力指数
肝炎肝硬化
肝肾综合征
Renal artery flow resistance index
Hepatitis cirrhosis
Hepatorenal syndrome
