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时间:2020-03-21
《慢性重型乙肝患者血乳酸水平变化及核苷类抗病毒治疗的疗效分析_李亚萍.doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、慢性重型乙肝患者血乳酸水平变化及核背类抗病毒治疗的疗效分析李亚萍张俊林(1.湖北省、黄冈市中心医院感染科,湖北黄冈438000;2.广东省深圳市中海医院急诊科,深圳518112)摘耍:目的探讨慢性重型乙肝患者血乳酸水平变化及核:仔类抗病毒治疗的疗效。方法回顾性分析30例慢性重症肝炎患者的临床资料,检测血乳酸并计算MELD评分。将患者按照入院顺序分两组,分别采用拉米夫定(LAM)、恩替卡韦(ETV)治疗,观察血乳酸和MELD评分的变化。结果慢性重症肝炎患者随着MELD评分的增加,血乳酸浓度逐渐增加(PV0.05);治疗后,两组血乳酸值稍高于治疗前,
2、但间治疗后比较无统计学意义(PA0.05),同时在MELD评分上也无明显改善(P>0.05);个例初步分析以乳酸水平轻度升高为多,但无乳酸中毒。结论MELD评分与血乳酸具有良好相关牲,二者联合应用对于病悄判断具有重要意义;应用核苛类抗病毒药物的严重肝病患者以血乳酸轻度升高为主,临床上应权衡利弊选择使用并注意监测。关键词:慢性重型肝炎:乳酸:肝病评分系统;核首类抗病毒治疗doi:10.3969/j.issn.1009一6469.2014.01.053Changeofbloodlacticacidandeffectofantiviralagentof
3、nucleosideinpatientswithchronicseverehepatitisBLTYa-ping.,ZHANGJun-1im(1DepartmentofInfectiousDiseases,HuanggangCentralHospital,Huanggang,Hubei438000,China:2.DepartmentofEmergencyShenzhenZhonghaiHospitaLShenzhen518112,China)Abstract:ObjectiveToinvestigatebloodlacticacidchange
4、andantiviralagentefleetofnucleosideagentonpatientswithchronicseverehepatitisB・Methods30casesofchronichepatitisBwereretrospectivelyanalyzedtandthebloodlacticacidandMELDscoresweredetectedandcalculated・Allthepatientsweredividedintotwogroupsaccordingtoadmissionorderbytreatingwit
5、hLAMandETVresjieclively,andthechangeofbloodlaclicacidandMELDscoreswereobserved・ResullsWiththeincreaseofbloodlacticacidinpa-lientswithchronichepatitisBofseveregrade,theMELDscoreswerealsoincreased(P<0・05〉・Aftertreatment,bloodlacticacidinbothgroupswasslightlyhigherthanthatbefore
6、treatment(P>0・05),whiletherewasnosignificantdiffereneeonbloodlacticacidandMELDscoresbetweenthehvogroupsaftertreatment(P>0・05)・Caseanalysisshowedthatbloodlacticacidwasstilllargelymoderate・lyincreasing,yetwithoutanycaseoflacticacidpoisoning.ConclusionsObviouscorrelationexistsbe
7、tweenMELDscoreandbloodlacticacid.Combinedapplicationisofgreatsignificanceforillnessjudgment.Applicationofnucleosideantiviraldrugscanleadtomoderateincreaseofbloodlacticacid,therefore»clinicaluseshouldbebasedonbenefit-riskbalanceandfocusonsurveillance・参考文献:[1]赵运华,刘学兵,陈磊,等.11()
8、例慢性鼻赛炎患者舜腔分泌[7]物细苗培养及药放试验结果分析[J]・山东医药,2010,50(42):37一38.[8][2]卿侧华.其菌
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