Znn3bq.jpeg
²é¿´: 457  |  »Ø¸´: 0

Ãô¶ù1984

гæ (³õÈëÎÄ̳)

[ÇóÖú] Çó·­ÒëÕªÒª2ƪ£¬¼±£¬Ð»Ð»£¬¼òµ¥·­ÒëÁË£¬ÇëÐÞ¸Ä

Abstract

Background & Aims¡ªSelected-ion flow-tube mass spectrometry (SIFT-MS) can precisely identify trace gases in the human breath, in the parts-per-billion range. We investigated whether concentrations of volatile compounds in breath samples correlate with the diagnosis of alcoholic hepatitis (AH) and the severity of liver disease in patients with AH.

Methods¡ªWe recruited patients with liver disease from a single tertiary care center. The study population was divided those with AH with cirrhosis (n=40) and those with cirrhosis with acute decompensation from etiologies other than alcohol (n=40); individuals without liver disease served as controls (n=43). We used SIFT-MS to identify and measure 14 volatile compounds in breath samples from fasted subjects. We used various statistical analyses to compare clinical characteristics and breath levels of compounds among groups, and test the correlation between levels of compounds and severity of liver disease. Logistic regression analysis was performed to build a predictive model for AH.

Results¡ªWe identified 6 compounds (2-propanol, acetaldehyde, acetone, ethanol, pentane and trimethylamine [TMA]) whose levels were increased in patients with liver disease compared with controls. Mean concentrations of TMA, acetone, and pentane were particularly high in breath samples from patients with AH, compared to those with acute decompensation or controls (for both, P<.001). Using receiver operating characteristic curve analysis, we developed a model for the diagnosis of AH based on breath levels of TMA, acetone, and pentane (TAP). TAP scores of 36 or higher identified the patients with AH (AUC=0.92), with 90% sensitivity and 80% specificity. The levels of exhaled TMA had a low level of correlation with the severity of AH based on model for end-stage liver disease score (r=0.38; 95% confidence interval, 0.07¨C0.69; P=. 018].

Conclusion¡ªBased on levels of volatile compounds in breath samples, we can identify patients with AH vs patients with acute decompensation or individuals without liver disease. Levels of exhaled TMA moderately correlate with the severity of AH. These findings might be used in diagnosis of AH or in determining patient prognosis.
±³¾°ÓëÄ¿µÄ:Ñ¡ÔñÀë×ÓÁ÷¶¯¹ÜÖÊÆ×£¨SIFT-MS£©¿ÉÒÔ׼ȷʶ±ðÔÚÈËÀàºôÎüµÄ΢Á¿ÆøÌ壬ÔÚÊ®ÒÚ·¶Î§¡£ÎÒÃǵ÷²éÊÇ·ñÔÚºôÎüÑùÆ·ÖеĻӷ¢ÐÔ»¯ºÏÎïµÄŨ¶ÈÓë¾Æ¾«ÐÔ¸ÎÑ×£¨°¡£©ºÍ»¼ÕߵĸÎÔ༲²¡µÄÑÏÖØ³Ì¶ÈÏà¹Ø¡£
·½·¨:´Óµ¥Ò»µÄÈý¼¶Ò½ÁÆÖÐÐÄÕÐļ¸Î²¡»¼Õß¡£Ñо¿ÈËȺ·ÖΪÄÇЩ°¡¸ÎÓ²»¯»¼Õߣ¨n = 40£©ºÍÄÇЩÓë¾Æ¾«ÒÔÍâµÄÆäËû²¡Òò¼±ÐÔʧ´ú³¥ÆÚ¸ÎÓ²»¯»¼Õߣ¨n = 40£©£»ÎÞ¸ÎÔ༲²¡×÷Ϊ¶ÔÕÕÕߣ¨n = 43£©¡£ÎÒÃÇÓÃSIFT-MSʶ±ðºÍ²âÁ¿ÔÚºôÎüÑù±¾14»Ó·¢ÐÔ»¯ºÏÎï½ûʳ¡£ÎÒÃÇÓò»Í¬µÄͳ¼Æ·ÖÎö±È½ÏÁ˸÷×é¼ä»¯ºÏÎïµÄÁÙ´²ÌØÕ÷ºÍºôÎüˮƽ£¬²¢¼ìÑéÁË»¯ºÏÎïµÄº¬Á¿Óë¸ÎÔ༲²¡µÄÑÏÖØ³Ì¶ÈÖ®¼äµÄ¹ØÏµ¡£½¨Á¢Ò»¸öÔ¤²âÄ£ÐÍ£¬½øÐÐÂß¼­»Ø¹é·ÖÎö¡£
ÎÒÃǼø¶¨ÁË6¸ö»¯ºÏÎïµÄ½á¹û£¨Òì±û´¼¡¢ÒÒÈ©¡¢±ûͪ¡¢ÒÒ´¼¡¢ºÍÈý¼×°·[ TMA ]ÎìÍ飩µÄˮƽÉý¸ß£¬¸ÎÔ༲²¡»¼ÕßÓë¶ÔÕÕ×éÏà±È¡£Æ½¾ùTMA£¬±ûͪºÍÎìÍéŨ¶È£¬ÓÈÆä¸ßºôÎüµÄ»¼ÕßÑù±¾°¡£¬Ïà±ÈÄÇЩ¼±ÐÔʧ´ú³¥»ò¿ØÖÆ£¨°üÀ¨£¬P<0¡£001£©¡£Ó¦ÓÃROCÇúÏß·ÖÎö£¬ÎÒÃÇ¿ª·¢ÁËÒ»¸ö»ùÓÚTMA£¬±ûͪºôÎüˮƽ°¡µÄÕï¶ÏÄ£ÐÍ£¬ºÍÎìÍ飨TAP£©¡£ÍÚ¾ò36»ò¸ü¸ßµÄ·ÖÊýÈ·¶¨°¡£¨AUC = 0.92£©µÄ»¼ÕßÖУ¬ÓÐ90%µÄÃô¸ÐÐÔºÍ80%µÄÌØÒìÐÔ¡£ºô³öµÄTMAº¬Á¿Ë®Æ½½ÏµÍµÄ»ù´¡ÉÏÓëÖÕÄ©ÆÚ¸Î²¡Ä£ÐͰ¡ÑÏÖØ³Ì¶ÈÏà¹Ø£¨r = 0.38£»95%ÖÃÐÅÇø¼ä£¬0.07¨C0.69£»P =¡£018 ]¡£
½áÂÛ»ùÓÚºôÆøÑù±¾ÖеĻӷ¢ÐÔ»¯ºÏÎïµÄˮƽ£¬ÎÒÃÇ¿ÉÒÔʶ±ð°¡VS»¼Õß¼±ÐÔʧ´ú³¥»ò¸öÈËÎÞ¸ÎÔ༲²¡µÄ»¼Õß¡£ºô³öµÄTMAÓëÑÏÖØ³Ì¶ÈÖжÈÏà¹ØË®Æ½°¡¡£ÕâЩ·¢ÏÖ¿ÉÄÜÓÃÓÚÕï¶Ï»òÈ·¶¨²¡È˵ÄÔ¤ºó¡£

» ²ÂÄãϲ»¶

ÎÒ°®Éú»î£¬¾ÍÏñÈËÀàϲ»¶À¶Ìì
ÒÑÔÄ   ¹Ø×¢TA ¸øTA·¢ÏûÏ¢ ËÍTAºì»¨ TAµÄ»ØÌû
Ïà¹Ø°æ¿éÌø×ª ÎÒÒª¶©ÔÄÂ¥Ö÷ Ãô¶ù1984 µÄÖ÷Ìâ¸üÐÂ
×î¾ßÈËÆøÈÈÌûÍÆ¼ö [²é¿´È«²¿] ×÷Õß »Ø/¿´ ×îºó·¢±í
[¿¼ÑÐ] ±¾¿ÆÎ÷¹¤´ó 324Çóµ÷¼Á +3 wysyjs25 2026-04-10 3/150 2026-04-10 18:15 by Kilig0317
[¿¼ÑÐ] 295·ÖÇóµ÷¼Á +3 ?ÒªÉϰ¶? 2026-04-10 3/150 2026-04-10 17:40 by 286640313
[¿¼ÑÐ] 269µç×ÓÐÅÏ¢Çóµ÷¼Á£¬¿Éתרҵ +9 ¶À×Ãwl 2026-04-06 9/450 2026-04-09 20:55 by laoshidan
[¿¼ÑÐ] 262Çóµ÷¼Á +10 ÌìϵÚÒ»ÎÄ 2026-04-04 13/650 2026-04-09 15:16 by ̽123
[¿¼ÑÐ] 288Çóµ÷¼Á +15 ûÓдð°¸_ 2026-04-05 15/750 2026-04-09 10:22 by 5268321
[¿¼ÑÐ] Ò»Ö¾Ô¸0807 ÊýÒ»Ó¢Ò» 313 ÓÐûÓжþÂÖµ÷¼Á +11 emokidd 2026-04-08 12/600 2026-04-09 09:24 by wyf236
[¿¼ÑÐ] 285Çóµ÷¼Á +20 ŶßϺôo 2026-04-04 20/1000 2026-04-08 22:23 by yutian743
[¿¼ÑÐ] ²ÄÁÏ¿¼ÑÐÇóµ÷¼Á×Ü·Ö280 +30 mkjlz1 2026-04-06 35/1750 2026-04-08 21:25 by cyh¡ª315
[¿¼ÑÐ] Çóµ÷¼Á Ò»Ö¾Ô¸Î÷ÄϽ»Í¨´óѧ085701»·¾³¹¤³Ì 282·Ö +15 ¶à¶à°®³Ôºº±¤ 2026-04-04 16/800 2026-04-08 11:39 by i_cooler
[¿¼ÑÐ] µ÷¼Á +3 µçÆø300Çóµ÷¼Á²» 2026-04-08 6/300 2026-04-08 09:39 by µçÆø300Çóµ÷¼Á²»
[¿¼ÑÐ] 307Çóµ÷¼Á +14 ³¬¼¶ÒÁ°º´óÍõ 2026-04-06 14/700 2026-04-08 07:03 by Î޼ʵIJÝÔ­
[¿¼ÑÐ] ר˶085403£¬291·Ö£¬ÓÐÁ½Æª×¨Àû£¬Ò»¹úÒ»½± +3 ¹þ¼ªßä¹þ¼ªßä 2026-04-07 3/150 2026-04-07 18:21 by À¶ÔÆË¼Óê
[¿¼ÑÐ] 277Çóµ÷¼Á ÊýÒ»104·Ö +9 Æ¿×ÓPZ 2026-04-05 14/700 2026-04-07 17:52 by À¶ÔÆË¼Óê
[¿¼ÑÐ] ÉúÎ﹤³ÌÇóµ÷¼Á +13 ϲ»¶»¹ÊDz»¸ÊÐÄ 2026-04-05 13/650 2026-04-07 16:55 by Ecowxq666£¡
[¿¼ÑÐ] 297·Ö083200ÇóÖú +9 aekx 2026-04-05 9/450 2026-04-06 20:57 by flysky1234
[¿¼ÑÐ] Ò»Ö¾Ô¸°²»Õij211 0703»¯Ñ§×Ü·Ö339Çóµ÷¼Á +7 Íí·ç²»Íí 2026-04-04 7/350 2026-04-06 14:06 by houyaoxu
[¿¼ÑÐ] ¹¤¿Æ370Çóµ÷¼Á +3 äçÐļ弦µ° 2026-04-05 3/150 2026-04-06 10:55 by ÕâÊÇÒ»¸öÎÞÁĵÄê
[¿¼ÑÐ] 284Çóµ÷¼Á +7 Ðìͬѧ_001 2026-04-04 13/650 2026-04-05 17:19 by yulian1987
[¿¼ÑÐ] ²ÄÁϵ÷¼Á +7 dxyµ÷¼Á 2026-04-04 7/350 2026-04-05 09:15 by İÇï26
[¿¼ÑÐ] ²ÄÁÏ383Çóµ÷¼Á +5 ¹ùÑôÑôÑô³É 2026-04-04 5/250 2026-04-04 19:06 by dongzh2009
ÐÅÏ¢Ìáʾ
ÇëÌî´¦ÀíÒâ¼û