摘要
目的:探究急性胰腺炎患者采取不同评分系统对病情严重程度早期预测结果分析。方法:抽取笔者所在医院2017年1月-2019年3月收治的急性胰腺炎患者200例,分别对患者予以Ranson评分、BISAP评分、CT严重程度指数(CTSI)评分、全身炎症反应综合征(SIRS)评分,并依据评分系统对患者轻重分型、器官衰竭制定特征曲线,比较曲线下面积(AUC)。结果:Ranson、BISAP、CTSI、SIRS四种评分系统对病情轻重及器官衰竭预测的灵敏度和特异度均较高,且相近(P>0.05)。四种预测系统AUC两两比较差异无统计学意义(P>0.05),预测能力相仿。结论:Ranson、BISAP、CTSI、SIRS四种评分系统对急性胰腺炎的严重程度具有较好准确性,且能力相似。
Objective:To analyze the early prediction results of acute pancreatitis(AP) patient’s illness severity using different scoring systems.Method:A total of 200 AP patients checked from January 2017 to March 2019 in our hospital were selected.Ranson,BISAP,CT severity index(CTSI),systematic inflammatory response syndrome(SIRS) scoring systems were performed to draw the receiver operating characteristic curve(ROC) about illness severity and organ failure.Area under roc curve(AUC) was counted.Result:The diagnosis sensitivity and specificity of illness severity and organ failure based on Ranson,BISAP,CTSI and SIRS scores were high,without significant difference(P>0.05).AUC(area under the curve) based on four systems was not significantly different(P>0.05).Four systems had fair predictive effects for organ failure.Conclusion:Ranson,BISAP,CTSI and SIRS scoring systems have high prediction accuracy and fair effects about illness severity of SAP.
作者
李斌
李娟
LI Bin;LI Juan(Heyuan People’s Hospital,Heyuan 517000,China)
出处
《中外医学研究》
2020年第3期174-176,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
不同评分系统
早期预测
急性胰腺炎
病情严重程度
Different scoring system
Early prediction
Acute pancreatitis
Illness severity
