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中国乙肝患者血清尿酸水平与肝功能的关系

The Relationship between Serum Uric Acid Level and Liver Function in Patients with Hepatitis B in China.

作者信息

Xu Pengfei, Han Xiucui, Shen Shien, Li Meng

出版信息

Clin Lab. 2021 May 1;67(5). doi: 10.7754/Clin.Lab.2020.200904.

Abstract

BACKGROUND

To explore the correlation between serum uric acid (UA) level and liver function indexes in patients with hepatitis B, so as to provide guidance for the prediction and treatment of liver function damage in patients with hepatitis B.

METHODS

Four hundred and eighty-five patients with hepatitis B were selected as the case group and 312 patients without hepatitis B matched in the same period as the control group. The difference of blood UA level in each group was analyzed, and the correlation between UA and ALT, AST and CREA in each group was analyzed.

RESULTS

UA in the hepatitis B group was significantly higher than that in non-hepatitis B group, and the difference was statistically significant (p = 0.000). Correlation analysis showed that UA was correlated with ALT in non-hepatitis B group (p < 0.001), while UA was significantly correlated with ALT and AST in hepatitis B group (p < 0.001). Correlation analysis showed that UA was correlated with ALT in male group, but not in female group. The results of logistic multivariate regression analysis showed that the increase of serum UA level was a risk factor for liver function damage in patients with hepatitis B.

CONCLUSIONS

The level of UA in patients with hepatitis B was significantly higher than that in patients without hepatitis B. The level of UA was positively correlated with the damage of liver function indexes. The correlation between UA and liver function indexes was stronger in males than that in females.

摘要

背景

探讨乙型肝炎患者血清尿酸(UA)水平与肝功能指标之间的相关性,为乙型肝炎患者肝功能损害的预测及治疗提供指导。

方法

选取485例乙型肝炎患者作为病例组,选取同期312例非乙型肝炎患者作为对照组。分析每组血液UA水平的差异,并分析每组中UA与ALT、AST和CREA之间的相关性。

结果

乙型肝炎组的UA明显高于非乙型肝炎组,差异有统计学意义(p = 0.000)。相关性分析显示,非乙型肝炎组中UA与ALT相关(p < 0.001),而乙型肝炎组中UA与ALT和AST显著相关(p < 0.001)。相关性分析显示,男性组中UA与ALT相关,而女性组中不相关。logistic多因素回归分析结果显示,血清UA水平升高是乙型肝炎患者肝功能损害的危险因素。

结论

乙型肝炎患者的UA水平明显高于非乙型肝炎患者。UA水平与肝功能指标损害呈正相关。男性中UA与肝功能指标的相关性强于女性。

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