[1]李咏梅,阎国宝.简易评分法对急性胰腺炎病情严重程度评估的价值[J].医学信息,2018,31(21):167-169.[doi:10.3969/j.issn.1006-1959.2018.21.049]
　LI Yong-mei,YAN Guo-bao.The Value of Simple Scoring Method in Evaluating the Severity of Acute Pancreatitis[J].Journal of Medical Information,2018,31(21):167-169.[doi:10.3969/j.issn.1006-1959.2018.21.049]
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简易评分法对急性胰腺炎病情严重程度评估的价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年21期
页码:
167-169
栏目:
诊疗技术
出版日期:
2018-11-01

文章信息/Info

Title:
The Value of Simple Scoring Method in Evaluating the Severity of Acute Pancreatitis
文章编号:
1006-1959（2018）21-0167-03
作者:
李咏梅; 阎国宝
鄂尔多斯市中心医院消化内科，内蒙古 鄂尔多斯 017000
Author(s):
LI Yong-mei; YAN Guo-bao
Department of Digestive Medicine,Ordos Central Hospital,Ordos 017000,Inner Mongolia,China
关键词:
简易评分法; 急性胰腺炎; 阳性率; 敏感度
Keywords:
Simple scoring method; Acute pancreatitis; Positive rate; Sensitivity
分类号:
R657.51
DOI:
10.3969/j.issn.1006-1959.2018.21.049
文献标志码:
A
摘要:
目的 词探讨简易评分法对于急性胰腺炎的临床应用价值。方法 选取2011年3月~2016年10月鄂尔多斯市中心医院临床诊断为急性胰腺炎的患者120例，分别采用简易评分法、APACHEⅡ、Ranson、CTSI评分法对患者评分。比较4种评分标准诊断重症胰腺炎的阳性率、敏感度、特异度。结果 简易评分法诊断重症胰腺炎的阳性率为11.67%，与APACHEⅡ比较，差异有统计学意义（P＜0.05），但敏感度与APACHEⅡ接近。简易评分法与Ranson、CTSI诊断重症胰腺炎的阳性率比较，差异无统计学意义（P＞0.05）。在诊断重症胰腺炎的特异度方面，简易评分法最高，为97.37%。结论 简易评分法诊断重症胰腺炎的阳性率、敏感度与其他方法接近，特异度在较高范围，评估方法简便，无时限性。
Abstract:
Objective To evaluate the clinical value of simple scoring method in acute pancreatitis.Methods From March 2011 to October 2016, 120 patients with acute pancreatitis were selected from Ordos Central Hospital. The patients were scored by simple score method, APACHE Ⅱ and Ranson,CTSI scoring method respectively and compare the positive rate, sensitivity and specificity of the four scoring criteria in the diagnosis of severe pancreatitis.Results The positive rate of simple scoring method in the diagnosis of severe pancreatitis was 11.67%. The difference was statistically significant compared with that of APACHE Ⅱ(P＜0.05).But the sensitivity is close to that of APACHE Ⅱ.There was no significant difference between the simple score method and Ranson,CTSI in the diagnosis of severe pancreatitis(P＞0.05).In the diagnosis of severe pancreatitis, the specificity of simple scoring method is the highest, which was 97.37%.Conclusion The sensitivity of the simple scoring method in the diagnosis of severe pancreatitis is close to that of other methods, the specificity is in a higher range, and the evaluation method is simple and time-free.

参考文献/References:

[1]王春友,李非,赵玉沛,等.急性胰腺炎诊治指南（2014）[J].临床外科杂志,2015,23(1):1-4. [2]陆双双,李莹,吴莉莉.APACHE评分系统的应用及进展[J].东南国防医药,2015,17(4):422-424,450. [3]吴县斌,苏东星,潘志刚,等. BISAP、APACHEⅡ、Ranson评分在预测急性胰腺炎预后中价值对比分析[J].现代消化及介入诊疗,2016,21(2):294-296. [4]汪翊,黄子星,宋彬.三种CT评分与急性胰腺炎严重程度床边指数评分评估重症急性胰腺炎的相关性研究[J].中国普外基础与临床杂志,2015,22(12):1520-1522. [5]Georgi A,Minkov KS,Halacheva YP,et al.Pathophysiological Mechanisms of Acute Pancreatitis Define Inflammatory Markers of Clinical Prognosis[J].Pancreas,2015,44(5):713-717. [6]Park M,Vos P,Vlaskamp BN,et al.The influence of APACHE II score on the average noise level in an intensive care unit:an observational study[J].Bmc Anesthesiology,2015,15(1):42. [7]孟祥俭,刘忠鑫,黄永廷,等.降钙素原与APACHEⅡ评分对急性胰腺炎病情严重程度及预后的评估价值[J].现代生物医学进展,2016,16(28):5539-5542. [8]吕俊,熊昊,郭燕妮.重症慢性阻塞性肺疾病患者APACHEⅡ评分及乳酸清除率水平与临床预后的关联分析[J].现代医学,2016,44(3):353-356. [9]刘英杰,陈海庚,刘家昌.APACHEⅡ评分及血清C反应蛋白对成人社区获得性肺炎患者的近期预后评估[J].临床肺科杂志,2017,22(11):1982-1986. [10]黄进杰.疾病评分系统在急危重症中的应用现状[J].中国医学创新,2017,14(29):140-144. [11]杨涓,郑盛,张帆,等.不同评分系统早期预测急性胰腺炎病情严重程度的比较研究[J].中国医药导报,2016,13(2):133-137,141. [12]陈晨阳,王齐艳,吴明蓬,等.新亚特兰大分类下不同CT评分标准早期预测急性胰腺炎器官衰竭的价值比较[J].中国普外基础与临床杂志,2015,22(1):117-120. [13]明亮,刘瑞涵,王欣,等.急性重症胰腺炎患者血清二胺氧化酶的变化及与患者CTSI评分、胃肠道功能变化的关系[J].国际检验医学杂志,2017,38(14) :1918-1920. [14]乐星华,谢会忠.急性胰腺炎的评分标准的评价[J].现代消化及介入治疗,2007,12(3):195-199.

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更新日期/Last Update: 2018-11-20