ABSTRACT
Objective To explore the clinical significance of lipid levels including total cholesterol TC triglyceride TG high?density lipoprotein HDL?C low density lipoprotein LDL?C and apolipoprotein APOAⅠand APOB of elder?ly patients with hepatic schistosomiasis. Methods A total of 280 hospitalized elderly patients with hepatic schistosomiasis 198 cases of chronic liver fibrosis and 82 cases of hepatocirrhosis were chosen as study objects and their clinical data were collected and analyzed retrospectively. Meanwhile the lipid levels between the patients with liver fibrosis and hepatocirrhosis and those among the patients with ABC degrees of Child?pugh grading of liver function were compared. Results Among the 280 patients the abnormality rates of the lipid levels were 34.8% 69/198 and 100% 82/82 in the liver fibrosis group and he?patocirrhosis group respectively and the difference between them were statistically significant χ2=5.74 P 0.05 . The levels of TC HDL?C LDL?C APOAⅠof the patients in the latter group were significantly lower than those in the former group all P 0.05 . The levels of TC TG HDL?C APOAⅠ APOB of the patients with C degree liver function were significantly lower than those of the patients with A degree liver function and the levels of TC TG HDL?C of the former were also lower than those of the patients with B degree liver function all P 0.05 . Conclusions The lipid levels of the elderly patients with he?patic schistosomiasis reduce obviously in the course of hepatocirrhosis and it is correlated with the damage level of the liver. Lipid and apolipoprotein detections have certain values on the illness judgment and prognosis assessment.
ABSTRACT
Objective To understand the status of elderly patients with schistosomiasis liver diseases combined with gallblad-der diseases,and explore the influencing factors. Methods A total of 280 elderly patients with schistosomiasis liver disease were divided into two groups,198 cases of chronic liver fibrosis and 82 cases of liver cirrhosis,and the results of their gallbladder ultra-sound and liver function examinations were analyzed statistically. Results Among the 280 cases,157 patients were combined with gallbladder diseases(56.1%),including gallbladder wall thickening(28.2%,79/280),cholecystolithiasis(13.6%,38/280),cholecystitis(11.1%,31/280),and gallbladder polyp(3.2%,9/280). The incidence rates of gallbladder wall thickening, cholecystitis and cholecystolithiasis in the schistosomiasis patients with cirrhosis were significantly higher than those in the schisto-somiasis patients with liver fibrosis(χ2=4.568,P<0.05). Conclusion The main influencing factors of schistosomiasis liver dis-ease combined with gallbladder diseases are the age,the course of the disease,liver cirrhosis and the portal hypertension degree.
ABSTRACT
The content, range, mode and method of medical equipment management were explained by associating hospi- tal actuality. The value of scientific management can be directed and improved economic benefit and social effect too, which are an important construction of hospital efficiency.