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目的总结肝硬化患者血钠水平与肝功能分级及预后的关系。方法肝硬化患者146例,合并低钠血症48例。结果正常血钠与低钠血症组肝功能分级(A+B)及C级的发生率分别为86.73%、13.26%、62.50%、37.50%,差异有统计学意义(P<0.01),死亡与恶化发生率分别为6.12%、20.83%,差异有统计学意义(P<0.01)。结论血钠水平越低,肝功能分级及预后越差。
Objective To summarize the relationship between serum sodium level and liver function classification and prognosis in patients with cirrhosis. Methods 146 patients with cirrhosis, 48 cases of hyponatremia. Results The incidences of liver function grading (A + B) and C grade in normal and hyponatremia groups were 86.73%, 13.26%, 62.50% and 37.50%, respectively, with statistical significance (P <0.01) And the incidence of exacerbation were 6.12% and 20.83%, respectively, the difference was statistically significant (P <0.01). Conclusion The lower the serum sodium level, the worse the liver function classification and prognosis.