转氨酶↑，是什么意思？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有时候</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">拿到<span style="color: black;">检测</span>报告单的你</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">是不是<span style="color: black;">这般</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/q_70/images03/20240710/6adc859a283f44128ad78eccd6e404ad.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其中有一项 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">转氨酶↑ </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">令<span style="color: black;">非常多</span>人<span style="color: black;">非常</span>疑惑 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“这个指标正常吗？” </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“这<span style="color: black;">表率</span>了啥？” </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q6.itc.cn/q_70/images03/20240710/43b0f8b0fc824209a71321266a5bb7c6.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">01</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">什么是转氨酶</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">谷丙转氨酶 (ALT)</strong>和 <strong style="color: blue;">谷草转氨酶 (AST)</strong>是监测肝脏<span style="color: black;">是不是</span>受到损害最<span style="color: black;">敏锐</span>的指标。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/q_70/images03/20240710/fa6b7c4df80941ee83d79fc9734c1152.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">02</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">转氨酶<span style="color: black;">上升</span>的<span style="color: black;">原由</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">疾患</span>：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">各样</span>病毒型肝炎、脂肪肝、肝硬化、肝癌及<span style="color: black;">自己</span>免疫系统<span style="color: black;">疾患</span>等。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">药品</span>：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">药源性、中毒性肝损害及<span style="color: black;">药品</span>过敏都可<span style="color: black;">导致</span>转氨酶<span style="color: black;">上升</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">其它：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">①健康人的转氨酶水平<span style="color: black;">亦</span>有可能暂时超出正常范围。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">②剧烈运动及过食油腻<span style="color: black;">食品</span>，都可能使转氨酶暂时偏高。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q8.itc.cn/q_70/images03/20240710/c14d0ba5f2cf49098aff84366e8d6655.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">转氨酶<span style="color: black;">明显</span><span style="color: black;">上升</span>时，肝脏代谢功能以及胆汁的生成与排泄功能将受到影响，继而使<span style="color: black;">病人</span><span style="color: black;">显现</span> <span style="color: black;"><strong style="color: blue;">乏力、纳差、失眠多梦、低烧、厌油腻、恶心、呕吐、腹痛、腹泻、肝区不适等症状</strong></span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">03</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">怎么治疗</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">中医治疗</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">中医<span style="color: black;">通常</span>将转氨酶<span style="color: black;">反常</span>归于“胁痛”“积聚”等范畴。小儿脏腑娇嫩，形气未充，易虚易实，易寒易热，肝脏体阴而用阳，肝属风木，内寄相火，主藏血、疏泄，性喜条达，然小儿肝脏疏泄功能不强，受到外邪侵害可至<span style="color: black;">身体</span>气火失调，耗伤阴血，使得肝功能<span style="color: black;">反常</span>，<span style="color: black;">显现</span>发热、恶心呕吐、黄疸、胁下痞块等。临床常<span style="color: black;">经过</span>患儿临床表现辨证论治。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q6.itc.cn/q_70/images03/20240710/12bf097c24f04506a9f256c96642edbd.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">常用降酶保肝的常用中成药及<span style="color: black;">药品</span><span style="color: black;">构成</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q8.itc.cn/q_70/images03/20240710/81690670986e44818746c740d6d39783.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">注：所有中成药需在<span style="color: black;">大夫</span><span style="color: black;">指点</span>下<span style="color: black;">运用</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">中医外治</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">①小儿<span style="color: black;">按摩</span>：</span>临床以腹胀、恶心、乏力等为<span style="color: black;">重点</span>表现时，可予补脾经、清肝经、摩腹、捏脊等。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q3.itc.cn/q_70/images03/20240710/88e19cc585d4486bbeec552eff660fbc.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">②艾灸：</span>适用于腹胀、脘腹痞满者。常用选穴: 神阙、关元、气海、足三里等。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/q_70/images03/20240710/bb979167dc9549d09d615fac8c41dbc5.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">③耳穴压丸：</span>适用于<span style="color: black;">显现</span>食欲差，恶心、呕吐、腹胀、失眠，肝区<span style="color: black;">病痛</span>等症状者，常用选穴: 皮质下穴、胃、肾、肝等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q1.itc.cn/q_70/images03/20240710/06b576c6bd54420a8d5ba8c178d50bf3.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">04</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">转氨酶的<span style="color: black;">平常</span>调护</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">①清淡<span style="color: black;">膳食</span>：转氨酶<span style="color: black;">上升</span><span style="color: black;">病人</span>应清淡<span style="color: black;">膳食</span>，减少食用煎炸、虾蟹等刺激食品。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">②适度<span style="color: black;">熬炼</span>：<span style="color: black;">能够</span><span style="color: black;">每日</span>慢跑半小时，<span style="color: black;">协同</span>晒太阳效果更佳。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">③保持心情舒畅，可有助于<span style="color: black;">疾患</span>的<span style="color: black;">恢复</span>。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">④动态检测转氨酶水平，必要时门诊随诊。 </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">参考文献：</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">赵晓明,贾勤. 转氨酶<span style="color: black;">上升</span>到底要<span style="color: black;">没关系</span> . 家庭医学, 2024, (02): 58.</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">孟尧,张萌萌,郭甜甜,等. 《中国<span style="color: black;">药品</span>性肝<span style="color: black;">损害</span>诊治指南（2023年版）》更新要点<span style="color: black;">诠释</span> . 中国肝脏病杂志(电子版), 2023, 15 (04): 1-5.</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">邢潇悦,张红星.慢加急性肝衰竭的中西医治疗研究<span style="color: black;">发展</span>.湖北中医杂志,2024,46(05):59-62.</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">付丽红,刘坤,余卓,等. 肝脏病理检测对不明<span style="color: black;">原由</span>肝功能<span style="color: black;">反常</span>的临床诊断价值 . 中西医结合肝病杂志, 2021, 31 (03): 202-204.</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"> 何强 ,胡艳 ,牛倩倩 ,等. 不明<span style="color: black;">原由</span>儿童严重急性肝炎中西医诊疗专家<span style="color: black;">指点</span><span style="color: black;">意见</span> . 中西医结合肝病杂志, 2022, 32 (06): 577-580.</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">史艳平,王少波.杨震教授治疗小儿<span style="color: black;">药品</span>性肝<span style="color: black;">损害</span>经验.中西医结合肝病杂志,2018,28(04):238-240.</span></p>
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