Wiese M, Bauer C, Kretzschmar F
Dtsch Z Verdau Stoffwechselkr. 1987;47(1):14-25.
1013 ALAT-attacks--in addition to the frequent asymptomatic onset of the disease and the high tendency of chronicity a typical symptom of the non-A, non-B hepatitis--were statistically analysed on 333 patients (of these 216 with uniform parenteral source of infection). 52% of the patients showed a multiphasic course. The aim of the analysis was the exact mathematical description of the attack-behaviour and the discovery of presumed regularities. The investigation of the periodicity of the attacks showed a maxima of spectral density corresponding to a 7-day-rhythm. The trend function of the ALAT-amplitudes in the time-course was assessed as an exponential function. Between mono- and multiphasic ALAT-courses no significant differences existed concerning the clinical picture (icteric--anicteric--subclinical), but as regards the late prognosis the multiphasic courses exhibited highly-significantly more transitions into chronic hepatitis. From the time-serial analysis of the attacks can be deduced for practical application that the reliable detection of non-A, non-B hepatitis cannot be guaranteed with weekly screenings. Screenings at 2-day-intervals which take into consideration the attack-behaviour and the ascertained time of incubation are recommended.
对333例患者(其中216例有一致的肠道外感染源)的1013次丙氨酸转氨酶(ALAT)发作进行了统计分析,丙氨酸转氨酶发作是丁型肝炎的典型症状,该疾病常无症状发作且慢性化倾向高。52%的患者病程呈多相性。分析目的是对发作行为进行精确数学描述并发现可能的规律。对发作周期性的研究显示频谱密度最大值对应7天节律。丙氨酸转氨酶振幅随时间变化的趋势函数评估为指数函数。单相和多相丙氨酸转氨酶病程在临床表现(黄疸型——无黄疸型——亚临床型)方面无显著差异,但就远期预后而言,多相病程转为慢性肝炎的情况显著更多。从发作的时间序列分析可以推断,实际应用中每周筛查不能保证可靠检测丁型肝炎。建议每隔2天进行筛查,并考虑发作行为和确定的潜伏期。