Multiple serum enzyme level changes in chronic alcoholic with special reference to gamma-glutamyl transpeptidase and lipid peroxidase

G. Elavazhagan, V. Prakash
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Abstract

Chronic alcohol intake can lead to functional disturbances and irreversible lesions in organs such as the liver, brain, pancreas, gastrointestinal tract, heart, and endocrine gland. Determining the serum activities of various enzymes such as aminotransferases, glutamate dehydrogenase (GDH), and gamma-glutamyltransferase (GGT) has widely been used as a method of screening for hepatic involvement in chronic alcoholism.This study was conducted to analyze multiple serum enzyme level changes in a chronic alcoholic with special reference to GGT and lipid peroxidase34 subjects were selected for the study. They are all male individuals with a positive history of chronic alcohol abuse. 10 healthy male volunteers who matched in age and socioeconomic status served as the controls.: The activity of serum enzyme levels in test and control groups has been statistically analyzed. There was a highly significant difference (p<0.001) in the mean values of the Serum glutamic oxaloacetic transaminase (SGOT), Serum glutamic pyruvic transaminase (SGPT), GGT of these two groups, whereas Serum lipid peroxidase (SLP) was less significant (p<0.01). The concentration of GGT was significantly low (p<0.001) in controls compared to that in the alcoholics.GGT can be taken as a marker of chronic alcoholism, provided serum bilirubin, SAP is within the reasonably average level
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慢性酒精中毒患者多种血清酶水平的变化,特别是γ-谷氨酰转肽酶和脂质过氧化物酶的变化
长期摄入酒精会导致肝脏、大脑、胰腺、胃肠道、心脏和内分泌腺等器官功能紊乱和不可逆转的病变。测定血清中各种酶的活性,如转氨酶、谷氨酸脱氢酶(GDH)和γ-谷氨酰转移酶(GGT),已被广泛用作筛查慢性酒精中毒患者肝脏受累情况的方法。他们均为男性,有长期酗酒史。10 名在年龄和社会经济地位方面相匹配的健康男性志愿者作为对照:对试验组和对照组的血清酶活性水平进行了统计分析。两组的血清谷氨酸草酰乙酸转氨酶(SGOT)、血清谷氨酸丙酮酸转氨酶(SGPT)和谷氨酰转肽酶(GGT)的平均值差异非常明显(P<0.001),而血清脂质过氧化物酶(SLP)的差异则不太明显(P<0.01)。与酗酒者相比,对照组的 GGT 浓度明显偏低(p<0.001)。只要血清胆红素、SAP 在合理的平均水平内,GGT 就可以作为慢性酒精中毒的标志。
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