摘要
目的探讨计算机断层扫描(CT)评分系统联合血尿淀粉酶对急性胰腺炎患者预后的预测价值。方法选取2019年1月至2022年1月收治的300例急性胰腺炎患者进行回顾性分析,根据预后情况将其分为死亡组(55例)和存活组(245例)。比较两组的一般资料及实验室指标;分析CT评分系统联合血尿淀粉酶对急性胰腺炎患者预后的预测价值。结果死亡组的急性生理学及慢性健康状况评分系统Ⅱ(APACHEⅡ)、改良计算机断层扫描严重指数(MCTSI)评分及血淀粉酶、尿淀粉酶水平高于存活组(P<0.05)。Logistic回归分析结果显示,APACHEⅡ评分、MCTSI评分、血淀粉酶、尿淀粉酶是急性胰腺炎患者院内死亡的独立危险因素(P<0.05)。MCTSI评分联合血尿淀粉酶预测急性胰腺炎患者预后的灵敏度、特异度高于单项指标(P<0.05)。结论CT评分系统联合血尿淀粉酶对急性胰腺炎患者预后的预测价值较高。
Objective To investigate the predictive value of computed tomography(CT)scoring system combined with serum and urine amylase in the prognosis of patients with acute pancreatitis.Methods A retrospective analysis was performed on 300 patients with acute pancreatitis admitted from January 2019 to January 2022.According to the prognosis,the patients were divided into death group(55 cases)and survival group(245 cases).The general data and laboratory indexes of the two groups were compared;the predictive value of CT scoring system combined with serum and urine amylase in the prognosis of patients with acute pancreatitis was analyzed.Results The Acute Physiology and Chronic Health Evaluation SystemⅡ(APACHEⅡ),Modified Computed Tomography Severity Index(MCTSI)scores,serum amylase and urine amylase levels in the death group were higher than those in the survival group(P<0.05).Logistic regression analysis results showed that APACHEⅡscore,MCTSI score,serum amylase and urine amylase were independent risk factors for in-hospital death in patients with acute pancreatitis(P<0.05).The sensitivity and specificity of MCTSI score combined with serum and urine amylase in predicting the prognosis of patients with acute pancreatitis were higher than those of single index(P<0.05).Conclusion The CT scoring system combined with serum and urine amylase has a high predictive value for the prognosis of patients with acute pancreatitis.
作者
洪英
刘蕃荔
曹媛媛
张宏
韩升
张宁
王卓
袁伟
HONG Ying;LIU Fanli;CAO Yuanyuan;ZHANG Hong;HAN Sheng;ZHANG Ning;WANG Zhuo;YUAN Wei(Shaanxi Province Mianxian Hospital,Hanzhong 724200;Hanzhong 3201 Hospital,Hanzhong 723000,China)
出处
《临床医学研究与实践》
2023年第31期10-13,共4页
Clinical Research and Practice
