Corelations Between the Value of Serum Cholinesterase and Child-Pugh and MELD-NA Scores in Cirrhotic Patients

G. Stancu, Bogdan M Sorohan, G. Gherlan, L. Toma, L. Iliescu
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Abstract

Abstract A variety of laboratory tests are used in the evaluation of the hepatic patients. Serum cholinesterase is reduced in liver disfunction in contrast with other enzymes. The aim of this study was to assess the value of serum cholinesterase in evaluation of the liver reserve function in cirrhotic patients. A total of 70 patients were divided into 3 groups according to the Child-Pugh Score. Using corelation analysis, the correlation between serum cholinesterase and albumin and serum plasma prothrombin time was analysed. Cirrhotic patients were grouped into A, B and C grades as per Child-Pugh score. The results showed that cholinesterase levels tend to decrease according to the Child-Pugh score. The cholinesterase correlated with the albumin serum levels, value of Child-Pugh score and MELD-Na score and didn’t corelate to INR. In conclusion, correlated with the damage severity of the liver cells cholinesterase may respond to liver reserve function.
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肝硬化患者血清胆碱酯酶与Child-Pugh和MELD-NA评分的相关性
摘要多种实验室检查用于评估肝脏患者。与其他酶相比,肝功能紊乱时血清胆碱酯酶减少。本研究的目的是评估血清胆碱酯酶在评估肝硬化患者肝储备功能中的价值。根据Child-Pugh评分将70名患者分为3组。采用相关分析法,分析血清胆碱酯酶和白蛋白与血浆凝血酶原时间的相关性。根据Child-Pugh评分将肝硬化患者分为A、B和C级。结果表明,胆碱酯酶水平往往会根据Child-Pugh评分而下降。胆碱酯酶与血清白蛋白水平、Child-Pugh评分和MELD-Na评分相关,与INR无关。总之,和肝细胞损伤的严重程度相关的胆碱酯酶可能对肝脏的储备功能有反应。
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