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血清脂肪酶联合Ranson或BISAP评分系统诊断急性胰腺炎严重程度的效果分析

陈东来 廖振海 林顺权

陈东来, 廖振海, 林顺权. 血清脂肪酶联合Ranson或BISAP评分系统诊断急性胰腺炎严重程度的效果分析[J]. 临床肝胆病杂志, 2016, 32(2): 324-328. DOI: 10.3969/j.issn.1001-5256.2016.02.026
引用本文: 陈东来, 廖振海, 林顺权. 血清脂肪酶联合Ranson或BISAP评分系统诊断急性胰腺炎严重程度的效果分析[J]. 临床肝胆病杂志, 2016, 32(2): 324-328. DOI: 10.3969/j.issn.1001-5256.2016.02.026
Chen DongLai, Liao ZhenHai, Lin ShunQuan. Diagnostic value of serum lipase combined with Ranson or BISAP scoring system in assessment of severity of acute pancreatitis[J]. J Clin Hepatol, 2016, 32(2): 324-328. DOI: 10.3969/j.issn.1001-5256.2016.02.026
Citation: Chen DongLai, Liao ZhenHai, Lin ShunQuan. Diagnostic value of serum lipase combined with Ranson or BISAP scoring system in assessment of severity of acute pancreatitis[J]. J Clin Hepatol, 2016, 32(2): 324-328. DOI: 10.3969/j.issn.1001-5256.2016.02.026

血清脂肪酶联合Ranson或BISAP评分系统诊断急性胰腺炎严重程度的效果分析

DOI: 10.3969/j.issn.1001-5256.2016.02.026
详细信息
  • 中图分类号: R576

Diagnostic value of serum lipase combined with Ranson or BISAP scoring system in assessment of severity of acute pancreatitis

  • 摘要: 目的探讨血清脂肪酶联合Ranson或BISAP评分系统在急性胰腺炎严重程度中的诊断意义。方法选取2012年2月-2015年2月惠东县第二人民医院收治的急性胰腺炎患者314例,分为轻症急性胰腺炎(MAP)组(n=202)和重症急性胰腺炎(SAP)组(n=112)。对所有患者分别进行血清脂肪酶检测、Ranson评分、BISAP评分、脂肪酶联合Ranson或BISAP评分。计量资料组间比较采用t检验,计数资料组间比较采用χ2检验,不同评估方法间曲线下面积(AUC)、约登指数比较采用Z检验。结果 SAP患者的血清脂肪酶水平、Ranson评分值、BISAP评分值均显著高于MAP患者,差异均有统计学意义(t值分别为14.89、11.89、5.12,P值分别为0.003、0.007、0.037)。预测器官功能衰竭、胰腺坏死和病死率的AUC中,脂肪酶联合BISAP评分系统均高于BISAP评分,差异均有统计学意义(Z值分别为7.54、7.11、7.57,P值分别为0.033、0.031、0.030);脂肪酶联合Ranson评分系统均高于Ranson评分,差异均有统计学意义(Z值分别为5.23、5.78、...

     

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  • 收稿日期:  2015-07-20
  • 出版日期:  2016-02-20
  • 刊出日期:  2016-02-20
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