Abstract:
Ojbective: To investigate the relationship between levels of coagulation factors and classification of inflammation and pathological phases in patients with chronic hepatitis B.
Methods: Eighty-three patients with chronic hepatitis B proved by liver biopsy were examined.A series of coagulation tests including prothrombin activity(PA),activated partial thromboplastin(APTT).factor Ⅱ、Ⅴ、Ⅶ、Ⅷ、Ⅸ、Ⅹ and vWF assay were performed.
Results: The levels of prothrombin time activity in patients with chronic hepatitis B were significantly lower from inflammation G
2 and pathological S2 than in control group(P<0.05);FactorⅡand Ⅶ were significantly lower in inflammation phase G
3+4 than control group(P<0.05);Factor Ⅷ was significantly higher from inflammation phase G
1 to G
4 than control group(P<0.01);Factor vWF was significantly higher from inflammation phase G
2 to G
4 than control group(P<0.05);Factor Ⅱ was significantly lower from pathological S3 than in control group(P<0.05);Factor Ⅹ was significantly lower in pathological S4 than control group(P<0.05);Factor Ⅷ and vWF were significantly higher from pathological S1 than control group(P<0.05);
Conclusions: The levels of prothrombin time activity,Factor Ⅱ、Ⅷ、Ⅹ and vWF could reflect the severity of degree of inflammation and hepatic fibrosis in patients with chronic hepatic B.