摘要
目的探讨全身炎症反应综合征（SIRS）评分系统评估重症急性胰腺炎（SAP）预后的临床应用价值。方法回顾性分析广西医科大学第一附属医院2006年1月至2011年12月收治的122例SAP患者的临床资料，根据预后分为SAP存活组87例和SAP死亡组35例，比较两组SIRS评分指标[体温、心率、呼吸频率、外周血白细胞计数（WBC）]和SIRS发生率，并进行SIRS评分与APACHEⅡ评分的相关性分析。结果SAP死亡组4项SIRS评分指标（体温、心率、呼吸频率、WBC）与SAP存活组比较差异有统计学意义（P〈0．05或〈0．01）。SAP死亡组SIRS发生率高于SAP存活组。相关性分析显示，SIRS评分与APACHEⅡ评分有一定相关性（r=0．341，P=0．016）。结论SIRS评分可用于评估SAP患者的预后，且SIRS评分与APACHEⅡ评分相关，具有一定临床应用价值。
Objective To investigate the clinical value of systemic inflammatory reaction syndrome （SIRS） score in evaluating the prognosis of patients with severe acute pancreatitis （SAP）. Methods The clinical data of 122 patients with SAP admitted in our hospital from January 2006 to December 2011 were respectively analyzed. Patients were divided into two groups： survival group with 87 cases and fatality group with 35 cases. SIRS parameters including body temperature, heart rate, respiratory rate and white blood cell counts were compared between the two groups, and the correlation of SIRS with APACHE Ⅱ score were analyzed. Results There were significant differences between survival group and fatality group in the four SIRS paraments（P 〈 0. 05 or P 〈 0.01 ） , and the incidence of SIRS was significantly higher in survival group than that in fatality group. The correlative analysis indicated that there was a close correlation of the SIRS with APACHE Ⅱ score （ r = 0. 341, P = 0. 016 ）. Conclusions SIRS score can be used to assess the prognosis of patients with SAP. SIRS score is closely correlated with the APACHE Ⅱ score, and with certain clinical value.
出处
《中国实用医刊》
2013年第14期5-7,共3页
Chinese Journal of Practical Medicine
基金
基金项目：广西卫生厅科研资助项目（桂卫Z2006059）
关键词
重症急性胰腺炎
全身炎性反应综合征
评分
预后
Severe acute pancreatitis
Systemic inflammatory reaction syndrome
Score
Prognosis
