摘要
目的探讨检测红细胞分布宽度(RDW)、中性粒细胞与淋巴细胞比值(NLR)、超敏C反应蛋白(hs-CRP)水平对急性胰腺炎(AP)严重程度的评估价值。方法根据中国急性胰腺炎诊治指南(2019年,沈阳)将175例AP患者分为轻症组和重症组。比较两组一般资料及相关指标水平。比较RDW、NLR、hs-CRP及联合检测对AP严重程度的评估价值。结果重症组RDW、NLR、hs-CRP水平均高于轻症组(P<0.05)。RDW、NLR、hs-CRP均可评估AP的严重程度,联合检测对AP严重程度的评估具有更高的诊断效能,其灵敏度、特异度分别为90.9%、90.8%,其曲线下面积明显高于RDW、NLR、hs-CRP。结论RDW、NLR、hs-CRP均可不同程度的评估AP的严重程度,联合检测可提高对AP严重程度的诊断效能。
Objective To explore the evaluation value of red blood cell distribution width(RDW),neutrophil-to-lymphocyte ratio(NLR)and hypersensitive C-reactive protein(hs-CRP)levels on the severity of acute pancreatitis(AP).Methods According to the Guidelines for the Diagnosis and Treatment of Acute Pancreatitis in China(Shenyang,2019),175 patients with AP were divided into mild and severe groups.General information and related indicators were compared between the two groups.The evaluation value of RDW,NLR,hs-CRP and combined detection for AP severity were compared.Results The RDW,NLR and hs-CRP levels in the severe group were significantly higher than those in the mild group(P<0.05).RDW,NLR and hs-CRP can all assess the severity of AP.The combined detection had a higher diagnostic efficiency for the assessment of AP severity,with the sensitivity and specificity of 90.9%and 90.8%,respectively,and the area under the curve(ACU)was significantly higher than that of RDW,NLR and hs-CRP.Conclusion RDW,NLR and hs-CRP can all assess the severity of AP to different degrees.Combined detection can improve the diagnostic efficiency of AP severity.
作者
高美玲
王小梅
Gao Meiling;Wang Xiaomei(Graduate Planning and Training Base,Huludao Central Hospital,Jinzhou Medical University,Huludao 125000,China;Second Department of Geriatrics,First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,China)
出处
《临床荟萃》
CAS
2020年第8期724-726,共3页
Clinical Focus
关键词
胰腺炎
急性坏死性
红细胞分布宽度
中性粒细胞与淋巴细胞比值
超敏C反应蛋白
pancreatitis
acute necrotizing
red blood cell distribution width
neutrophil to lymphocyte ratio
hypersensitive C-reactive protein
