本文選題：甲胎蛋白 + 乙型肝炎病毒��； 參考：《廣東醫(yī)學(xué)》2015年05期

【摘要】：目的探討慢性乙型肝炎病毒(HBV)感染后重型肝炎患者血清甲胎蛋白(AFP)值的變化與MELD評分對其預(yù)后的評估效果。方法選擇慢性HBV感染后重型肝炎患者82例,檢測其血清AFP并對其進(jìn)行MELD評分,隨訪90 d并比較血清AFP值與MELD評分對預(yù)后的評估效果。結(jié)果 MELD≤19分的患者存活率高于MELD≥20分的患者,差異有統(tǒng)計學(xué)意義(P0.05),而AFP200μg/L的患者存活率高于AFP200μg/L者,差異有統(tǒng)計學(xué)意義(P0.05),MELD評分分級和AFP分級與患者的存活率有關(guān)(P0.05)。結(jié)論 AFP對慢性HBV感染后重型肝炎預(yù)后判斷有較好的應(yīng)用價值。
[Abstract]:Objective to investigate the changes of serum alpha-fetoprotein (AFP) in patients with severe hepatitis B after chronic hepatitis B virus (HBV) infection and the effect of MELD score on prognosis. Methods 82 patients with severe hepatitis after chronic HBV infection were selected, their serum AFP was measured and their MELD scores were evaluated. After 90 days follow-up, the prognosis of patients with severe hepatitis after chronic HBV infection was compared with that of serum AFP score and MELD score. Results the survival rate of patients with MELD 鈮，

本文編號：1873506