【摘要】 目的　探讨血清前白蛋白检测在肝病早期诊断中的意义。　方法　分别对 15 5例肝病患者及 40例健康体检者检测血清前白蛋白 (PAB)及血清白蛋白 (AIb) ,并动态观察其变化。　结果　PAB在各型肝病中均有明显降低 ,与正常对照组比较差异有显著性 (P <0 0 5 )。入院 2周后仅有急性肝炎组随着病情好转PAB恢复正常水平。且急性肝炎组PAB降低率明显高于AIb ,分别为 62 5 0 %及 2 7 0 8%。　结论　PAB较AIb能更特异和更灵敏地早期反映肝脏储备功能 ,更有助于判断肝病的病情及预后更多还原

【Abstract】 Objective To study on the significance of detection of prealbumin(PAB) and albumin(AIb) in earlier period of diagnosis for liver disease Methods We examine 155 patients with liver disease and 40 persons of check-up about PAB and AIb We observe also their dynamic variation Results We find that PAB serum levels were obvious lower in patient with liver diseases than that of healthy controls (P<0 05) Only there is PAB of acute hepatitis to attain the normal levle after two weeks The percentage that PAB reduce is obvious higher than that of AIb (62 50%,27 08%,respcctivcly) Conclusion PAB is more specific and more sharp to reflect save function of liver than AIb,meanwhile it is helpful to judge state of liver diseases and to understand its prognosi更多还原