[急性酒精性肝炎患者游离脂肪酸水平的变化]

G Warbanow, W Michowa, M Atanassowa
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引用次数: 0

摘要

该研究包括25例急性酒精性肝炎患者,平均年龄48岁,25例酒精性肝脂肪变性患者(平均年龄49岁),41例临床健康对照(平均年龄42岁)。在任何情况下测定血浆中个体游离脂肪酸(FFA)水平。急性酒精性肝炎(AAH)患者的棕榈酸、硬脂酸、油酸、亚油酸和花生四烯酸以及总游离脂肪酸与对照组相比有统计学意义的降低(p < 0.001)。在肝脂肪变性患者中也发现了类似的变化,但表达程度较轻。AAH患者FFA代谢组出现严重紊乱,主要表现为多不饱和脂肪酸导致总FFA水平降低,同时饱和脂肪酸显著升高。
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[Changes in the level of free fatty acids in patients with acute alcoholic hepatitis].

The study covered 25 patients with acute alcoholic hepatitis mean age of 48 years 25 patients with alcoholic liver steatosis (mean age of 49 years), and 41 clinically healthy persons - controls (mean age of 42 years). Plasma levels of individual free fatty acids (FFA) were determined in any case. There was a statistically significant decrease of palmitinc, stearinic, oleinic, linolic and arachidonic acid and of total FFA in the patients with acute alcoholic hepatitis (AAH) as compared with the controls (p less than 0.001). Similar changes were found in patients with liver steatosis but they were slightlier expressed. In AAH patients serious disorders of FFA metabolism set in which are manifested mainly by total FFA level reduction that is on the account of the polyunsaturated fatty acids combined with significant increase of the saturated ones.

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