GPT and Hepatic fibrosis: In this study, we find that high normal ALT (>22 U/L), high level of serum HBV DNA (>3.42 log IU/mL), and low level of PA (<170 mg/L) mean a high risk of significant liver necroinflammation, and the predictive value of the combined indicators was 0.750 (P < 0.001), while high normal ALT (>24 U/L) and high level of FIB-4 (>1.53) mean a high risk of significant liver fibrosis, and the predictive value of the joint indicators was 0.740 (P < 0.001).