[1]赖佛香.血清淀粉酶、血细胞比容及C反应蛋白联合检验在急性胰腺炎诊断中的应用价值[J].医学信息,2024,37(13):134-137.[doi:10.3969/j.issn.1006-1959.2024.13.028]
 Application Value of Combined Detection of Serum Amylase,Hematocrit and C-reactive Protein in the Diagnosis of Acute Pancreatitis.Application Value of Combined Detection of Serum Amylase, Hematocrit and C-reactive Protein in the Diagnosis of Acute Pancreatitis[J].Journal of Medical Information,2024,37(13):134-137.[doi:10.3969/j.issn.1006-1959.2024.13.028]
点击复制

血清淀粉酶、血细胞比容及C反应蛋白联合检验在急性胰腺炎诊断中的应用价值()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年13期
页码:
134-137
栏目:
诊疗技术
出版日期:
2024-07-01

文章信息/Info

Title:
Application Value of Combined Detection of Serum Amylase, Hematocrit and C-reactive Protein in the Diagnosis of Acute Pancreatitis
文章编号:
1006-1959(2024)13-0134-04
作者:
赖佛香
(上饶市广信区中医院检验科,江西 上饶 334100)
Author(s):
Application Value of Combined Detection of Serum Amylase Hematocrit and C-reactive Protein in the Diagnosis of Acute Pancreatitis
(Laboratory Department of Guangxin District Hospital of Traditional Chinese Medicine,Shangrao 334100,Jiangxi,China)
关键词:
急性胰腺炎血清淀粉酶血常规C反应蛋白血细胞比容
Keywords:
Acute pancreatitisSerum amylaseBlood routineC-reactive proteinHematocrit
分类号:
R446.1
DOI:
10.3969/j.issn.1006-1959.2024.13.028
文献标志码:
A
摘要:
目的 研究血清淀粉酶(AMY)、血细胞比容(HCT)及C反应蛋白(CRP)联合检验在急性胰腺炎(AP)诊断中的应用价值。方法 将2020年1月-2023年5月上饶市广信区中医院接诊的70例AP患者设为AP组,另取同期就诊的50例非AP急腹症患者设为非AP组,检测两组AMY、HCT、CRP指标,比较AP组与非AP组的AMY、HCT、CRP检测结果,统计不同病情程度AP患者的AMY、HCT、CRP水平,并分析AMY、HCT、CRP及其联合检验对AP疾病的诊断价值。结果 AP组AMY水平高于非AP组(P<0.05),但两组HCT、CRP水平比较,差异无统计学意义(P>0.05)。MAP、MSAP、SAP患者血清AMY水平比较,差异无统计学意义(P>0.05),而HCT、CRP水平由高至低依次为SAP>MSAP>MAP(P<0.05)。AMY、HCT、CRP联合检测对AP疾病的诊断准确性、敏感度与特异度高于其单一检测(P<0.05)。结论 血清AMY、HCT及CRP联合检验在AP检测中具有较高的诊断效能。
Abstract:
Objective To study the application value of combined detection of serum amylase (AMY), hematocrit (HCT) and C-reactive protein (CRP) in the diagnosis of acute pancreatitis (AP).Methods From January 2020 to May 2023, 70 AP patients admitted to Guangxin District Hospital of Traditional Chinese Medicine in Shangrao City were set as AP group, and 50 non-AP acute abdomen patients were set as non-AP group. The AMY, HCT and CRP indexes of the two groups were detected, and the AMY, HCT and CRP test results of AP group and non-AP group were compared. The AMY, HCT and CRP levels of AP patients with different severity were counted, and the diagnostic value of AMY, HCT, CRP and their combined test for AP disease was analyzed.Results The level of AMY in AP group was higher than that in non-AP group (P<0.05), while there was no significant difference in HCT and CRP levels between the two groups (P>0.05). There was no significant difference in serum AMY level among MAP, MSAP and SAP patients (P>0.05), while the levels of HCT and CRP from high to low were SAP>MSAP>MAP (P<0.05). The diagnostic accuracy, sensitivity and specificity of combined detection of AMY, HCT and CRP for AP disease were higher than those of single detection (P<0.05).Conclusion The combined test of serum AMY, HCT and CRP has high diagnostic efficacy in AP detection.

参考文献/References:

[1]马晨曦,马冰新,李群,等.血清淀粉酶及白蛋白联合乳酸脱氢酶检测在急性胰腺炎临床诊断及病情评估中的作用[J].西部医学,2023,35(2):247-250.[2]罗石磊,李宏,吴秦岭.急性胰腺炎患者血清生化因子水平变化及其临床意义[J]. 热带医学杂志,2021,21(6):762-764,769.[3]张允标,时秀云,郑绮菡.血清淀粉酶联合C反应蛋白检测对急性胰腺炎的诊断价值[J].山西医药杂志,2022,51(2):223-225.[4]李敏利,周俊明,冯颖,等.血清炎症相关因子在急性胰腺炎患者的表达及临床意义[J].江苏医药,2021,47(10):992-995.[5]丁晓琳,张伦军,高洁,等.血清脂肪酶、淀粉酶及C反应蛋白联合检测对急性胰腺炎诊断的意义[J].蚌埠医学院学报,2021,46(9):1255-1257.[6]冯所远,符史健.血清淀粉酶、C反应蛋白、降钙素原与尿胰蛋白酶原激活肽联合检测对急性胰腺炎的诊断价值[J].中国普通外科杂志,2018,27(3):377-381.[7]Cetinkaya E,Senol K,Saylam B,et al.Red cell distribution width to platelet ratio: new and promising prognostic marker in acute pancreatitis[J].World J Gastroenterol,2014,20(39):14450-14454.[8]潘虹,刘鹏飞,沈卫东,等.血清胰蛋白酶原-2和血细胞比容在急性胰腺炎病情评估中的作用[J].胃肠病学,2019,24(4):211-214.[9]刘舒,高世娇,方凯.血清PCT、ALB、AMY及CRP联合检测对早期急性胰腺炎的诊断价值[J].贵州医科大学学报,2021,46(5):578-583.[10]王珍珍,海涛.血清CRP、淀粉酶联合脂肪酶检测在急性胰腺炎诊断和预后评估中的应用价值分析[J].中国实验诊断学,2020,24(9):1432-1435.[11]黄锐,刘念.联合PCT、钙离子、CRP及脂肪酶检测预测急性胰腺炎严重程度[J].肝胆外科杂志,2019,27(6):422-425.[12]王洋一,胡宏章,王军荐,等.联合检测血清PCT、IL-6、CRP、AMY及LPS对急性胰腺炎的诊断价值[J].西部医学,2019,31(12):1943-1947.[13]祁玮,黄飞,何健,等.血清C-反应蛋白、降钙素原及脂肪酶在急性胰腺炎诊断及病情评估中的应用价值[J].广西医学,2019,41(23):2984-2988.[14]王俊,周婷.多层螺旋CT、超声联合血淀粉酶检测在ICU中重症急性胰腺炎诊断中的应用价值探讨[J].中国CT和MRI杂志,2019,17(5):110-112.[15]白子烨,王怀谷,张莉,等.局部氧疗联合重组牛碱性成纤维细胞生长因子合并负压引流技术应用在慢性难愈性创面的疗效[J].实用医学杂志,2022,38(20):2561-2567.[16]李溪,周迎春.血清淀粉酶、C反应蛋白、白细胞联合检测对急性胰腺炎鉴别的价值研究[J].检验医学与临床,2019,16(2):161-163,167.[17]张霖,黄斌,杨斌,等.C反应蛋白、降钙素原及降钙素原乳酸比在重症急性胰腺炎继发感染的诊断价值[J].肝胆外科杂志,2018,26(6):423-426.[18]王锦生,徐红波,王维钢.可溶性fms样酪氨酸激酶对急性胰腺炎的早期诊断及严重程度评估的价值[J].浙江医学,2018,40(18):2034-2037.[19]Cai Y,Fei SJ,Li L.Value of mean platelet volume in evaluating the severity of acute pancreatitis[J].Journal of Hainan Medical University,2019,25(13):20-24.[20]李鲜爱,崔幸琨,孙莉,等.AMS、LPS、CRP检测对急性胰腺炎诊断的临床价值[J].现代消化及介入诊疗,2018,23(3):332-334.[21]吴松,李治君,沈钢.血淀粉酶等联合检测在急性胰腺炎诊断及预后评估中的价值[J].热带医学杂志,2018,18(5):621-624.[22]浦清,龚玲,居培红,等.血清脂肪酶对60岁以上高脂血症性急性胰腺炎患者诊断的意义[J].江苏医药,2018,44(1):104-105.[23]刘云,孙静芳,丁爽.血常规相关指标在急性胰腺炎分期和病情评估中的作用分析[J].检验医学与临床,2021,18(8):1025-1028.[24]张艺,冯志松.血常规不常用指标预测急性胰腺炎严重程度的价值[J].胃肠病学和肝病学杂志,2018,27(8):950-953.[25]陈从林,罗和生.血常规、生化指标对重症急性胰腺炎的预测价值探讨[J].胃肠病学和肝病学杂志,2023,32(1):20-25.

相似文献/References:

[1]杨 井,钱 娟,王丹雯,等.急性胰腺炎的CT诊断价值分析[J].医学信息,2018,31(02):148.[doi:10.3969/j.issn.1006-1959.2018.02.056]
 YANG Jing,QIAN Juan,WANG Dan-wen,et al.Analysis of the Value of CT in the Diagnosis of Acute Pancreatitis[J].Journal of Medical Information,2018,31(13):148.[doi:10.3969/j.issn.1006-1959.2018.02.056]
[2]应结草.急性胰腺炎治疗的研究[J].医学信息,2018,31(14):32.[doi:10.3969/j.issn.1006-1959.2018.14.011]
 YING Jie-cao.Study of the Treatment of Acute Pancreatitis[J].Journal of Medical Information,2018,31(13):32.[doi:10.3969/j.issn.1006-1959.2018.14.011]
[3]谢 鹏,曹海泉,尚 娟,等.重症急性胰腺炎患者肠内营养的时机选择[J].医学信息,2018,31(17):81.[doi:10.3969/j.issn.1006-1959.2018.17.024]
 XIE Peng,CAO Hai-quan,SHANG Juan,et al.Timing of Enteral Nutrition in Patients with Severe Acute Pancreatitis[J].Journal of Medical Information,2018,31(13):81.[doi:10.3969/j.issn.1006-1959.2018.17.024]
[4]许子明,张 颖,吴月洋,等.基于圆形分布统计分析急性胰腺炎发病及死亡时间的节气特征[J].医学信息,2018,31(19):72.[doi:10.3969/j.issn.1006-1959.2018.19.023]
 XU Zi-ming,ZHANG Ying,WU Yue-yang,et al.Statistical Analysis of the Solar Terms Characteristics of Acute Pancreatitis Based on Circular Distribution[J].Journal of Medical Information,2018,31(13):72.[doi:10.3969/j.issn.1006-1959.2018.19.023]
[5]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.[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(13):167.[doi:10.3969/j.issn.1006-1959.2018.21.049]
[6]林 洁,曾繁林,朱宏泉.改善重症急性胰腺炎预后的相关研究[J].医学信息,2018,31(24):157.[doi:10.3969/j.issn.1006-1959.2018.24.047]
 LIN Jie,ZENG Fan-lin,ZHU Hong-quan.Study on Improving the Prognosis of Severe Acute Pancreatitis[J].Journal of Medical Information,2018,31(13):157.[doi:10.3969/j.issn.1006-1959.2018.24.047]
[7]王志勇,唐森森,付海珍,等.高甘油三酯血症型急性胰腺炎严重程度和临床预后的相关性[J].医学信息,2022,35(14):57.[doi:10.3969/j.issn.1006-1959.2022.14.012]
 WANG Zhi-yong,TANG Sen-sen,FU Hai-zhen,et al.Correlation Between Severity and Clinical Prognosis of Hypertriglyceridemic Acute Pancreatitis[J].Journal of Medical Information,2022,35(13):57.[doi:10.3969/j.issn.1006-1959.2022.14.012]
[8]魏怡敏,郭建强.高脂血症性急性胰腺炎的临床特征及其甘油三酯水平对预后及并发症的影响[J].医学信息,2022,35(19):51.[doi:10.3969/j.issn.1006-1959.2022.19.013]
 WEI Yi-min,GUO Jian-qiang.Clinical Features of Hyperlipidemic Acute Pancreatitis and Effect of Triglyceride Level on Prognosis and Complications[J].Journal of Medical Information,2022,35(13):51.[doi:10.3969/j.issn.1006-1959.2022.19.013]
[9]张力凡.彩超与CT检查在急性胰腺炎中的诊断价值[J].医学信息,2022,35(19):133.[doi:10.3969/j.issn.1006-1959.2022.19.038]
 ZHANG Li-fan.Diagnostic Value of Color Doppler Ultrasound and CT in Acute Pancreatitis[J].Journal of Medical Information,2022,35(13):133.[doi:10.3969/j.issn.1006-1959.2022.19.038]
[10]徐丽青.RDW与重症急性胰腺炎病情及预后的相关性[J].医学信息,2020,33(16):115.[doi:10.3969/j.issn.1006-1959.2020.16.035]
 XU Li-qing.Correlation of RDW with Severity and Prognosis of Severe Acute Pancreatitis[J].Journal of Medical Information,2020,33(13):115.[doi:10.3969/j.issn.1006-1959.2020.16.035]
[11]刘 颖.血清淀粉酶、脂肪酶及C反应蛋白联合检验在急性胰腺炎诊断中的应用价值[J].医学信息,2024,37(03):141.[doi:10.3969/j.issn.1006-1959.2024.03.029]
 LIU Ying.Application Value of Combined Detection of Serum Amylase, Lipase and C-reactive Protein in the Diagnosis of Acute Pancreatitis[J].Journal of Medical Information,2024,37(13):141.[doi:10.3969/j.issn.1006-1959.2024.03.029]

更新日期/Last Update: 1900-01-01