首页|PT、PLT、AFP联合检测在肝硬化诊断中的价值

PT、PLT、AFP联合检测在肝硬化诊断中的价值

扫码查看
目的 分析凝血酶原时间(PT)、血小板计数(PLT)、甲胎蛋白(AFP)联合检测在肝硬化诊断中的价值。方法 选取 2020 年 2 月至 2022 年 2 月收治的 100 例疑似肝硬化患者为观察组,并随机选择同期到院进行健康检查的100 例志愿者为健康组。所有研究对象均行PT、PLT、AFP检测,分析三者单一及联合检测对肝硬化的诊断效能。结果 观察组的PT长于健康组,PLT低于健康组,AFP水平高于健康组,差异具有统计学意义(P<0。05)。观察组中,Child-Pugh A级患者的PT短于B、C级患者,PLT高于B、C级患者,AFP水平低于B、C级患者,差异具有统计学意义(P<0。05);Child-Pugh B级患者的PT短于C级患者,PLT高于C级患者,AFP水平低于C级患者,差异具有统计学意义(P<0。05)。PT、PLT、AFP单一诊断肝硬化的灵敏度、特异度、准确度比较,差异无统计学意义(P>0。05);PT、PLT、AFP联合与单一检测诊断肝硬化的灵敏度比较,差异无统计学意义(P>0。05);PT、PLT、AFP联合检测诊断肝硬化的特异度、准确度均显著高于单一诊断,差异具有统计学意义(P<0。05)。结论 PT、PLT、AFP联合检测对肝硬化的诊断价值较高。
Value of combined detection of PT,PLT and AFP in the diagnosis of cirrhosis
Objective To analyze the value of combined detection of prothrombin time(PT),platelet count(PLT)and alpha-fetoprotein(AFP)in the diagnosis of cirrhosis.Methods A total of 100 patients with suspected cirrhosis admitted from February 2020 to February 2022 were selected as observation group,and 100 volunteers who went to the hospital for health examination during the same period were randomly selected as healthy group.All subjects were tested for PT,PLT and AFP,and the diagnostic efficacy of single and combined detection of the three for cirrhosis was analyzed.Results The PT in the observation group was longer than that in the healthy group,the PLT was lower than that in the healthy group,the AFP level was higher than that in the healthy group,and the differences were statistically significant(P<0.05).In the observation group,the PT of patients with Child-Pugh grade A was shorter than that of patients with grade B and C,the PLT was higher than that of patients with grade B and C,the AFP level was lower than that of patients with grade B and C,and the differences were statistically significant(P<0.05);the PT of patients with Child-Pugh grade B was shorter than that of patients with grade C,the PLT was higher than that of patients with grade C,the AFP level was lower than that of patients with grade C,and the differences were statistically significant(P<0.05).There were no significant differences in the sensitivity,specificity and accuracy of PT,PLT and AFP in the single diagnosis of cirrhosis(P>0.05);there was no significant difference in the sensitivity of combined and single detection of PT,PLT and AFP in the diagnosis of cirrhosis(P>0.05);the specificity and accuracy of combined detection of PT,PLT and AFP in the diagnosis of cirrhosis were significantly higher than those of single diagnosis,and the differences were statistically significant(P<0.05).Conclusion The combined detection of PT,PLT and AFP has high diagnostic value for cirrhosis.

cirrhosisprothrombin timeplatelet countalpha-fetoprotein

王莉、张玲、侯轩

展开 >

汉中市第二人民医院检验科,陕西 汉中,723000

汉中市南郑区人民医院检验科,陕西 汉中,723100

通用医疗汉中三二〇一医院微免科,陕西 汉中,723000

肝硬化 凝血酶原时间 血小板计数 甲胎蛋白

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(25)