THE MEASUREMENT AND CLINICAL SIGNIFICANCE OF NEURON-SPECIFIC ENOLASE IN PATIENTS WITH HEPATOENCEPHALOPATHY

Guanghao Zhang, Q. Jin
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Abstract

Objective:To study the clinical significance of neuron\|specific enolase (NSE) in the patients with hepatoencephalopathy(HE).Methods:The serum NSE was measured by ELISA in 46 cases.The results were analyzed in every clinical type liver disease and every stage of HE.Results:The serum NSE levels was significantly increased in the patients with HE (46.038±24.260) μg/L compared with the patients with chronic hepatitis (12.127±5.673) μg/L and control cases (10.196±3.237) μg/L.The serum NSE levels gradually increased (P0.05) in the patients with liver cirrhosis,subacute fatal hepatitis and acute fatal hepatitis,and the serum NSE levels was obviously higher in patients with the fourth stage HE than they with first and second stage.Conclusion:The serume NSE levels obviously increased in the patients with HE,and it gradually increased in the patients with liver cirrhosis,subacute fatal hepatitis and acute fatal hepatitis.The serum NSE levels were higher in the patients with more serious HE.
肝脑病患者神经元特异性烯醇化酶的测定及临床意义
目的:探讨神经元特异性烯醇化酶(NSE)在肝性脑病(HE)患者中的临床意义。方法:采用ELISA法测定46例患者血清NSE。分析肝脏疾病各临床类型及HE分期的结果。结果:HE患者血清NSE水平(46.038±24.260)μg/L明显高于慢性肝炎患者(12.127±5.673)μg/L和对照组(10.196±3.237)μg/L。肝硬化、亚急性致死性肝炎和急性致死性肝炎患者血清NSE水平逐渐升高(P0.05),且HE四期患者血清NSE水平明显高于ⅰ、ⅱ期患者。结论:HE患者血清NSE水平明显升高,肝硬化、亚急性致死性肝炎和急性致死性肝炎患者血清NSE水平逐渐升高。HE越严重,血清NSE水平越高。
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