摘要
目的探讨超敏C反应蛋白(Hs-CRP)联合血清淀粉酶(S-AMY)、尿液淀粉酶(U-AMY)检测在急性胆源性胰腺炎(ABP)的诊断价值。方法在迈瑞2000M全自动生化分析仪上检测ABP组和非ABP组患者的Hs-CRP、S-AMY、U-AMY水平,与同步测定对照组的结果进行统计学比较分析。结果ABP组检测Hs-CRP、S-AMY、UAMY水平显著高于非ABP组和对照组,比较差异有统计学意义(P<0.01);非ABP组检测S-AMY、U-AMY水平高于对照组,比较差异无统计学意义(P>0.05),检测Hs-CRP水平高于对照组,比较差异有统计学意义(P<0.05);ABP组三项指标联检阳性检出率与各单项的阳性检出率比较,差异有统计学意义(P<0.05);ABP组的各单项阳性检出率与非ABP组的各单项比较,差异有统计学意义(P<0.05);非ABP组三项指标联检阳性检出率与各单项的阳性检出率比较,差异无统计学意义(P>0.05)。结论 Hs-CRP联合S-AMY、U-AMY检测有助于提高ABP的阳性检出率,为ABP的鉴别诊断、病情严重程度的判断、治疗效果及预后评估提供具有参考价值的实验室依据。
Objective Discuss of high sensitive C reactive protein （Hs-CRP）and serum amylase （S-AMY）,urine amylase （U-AMY）in patients with acute biliary pancreatitis （ABP）diagnostic value.Methods Testing of ABP group and non ABP group were Hs-CRP,S-AMY,U-AMYlevels in MR2000M automatic biochemical analyzer,comparative a-nalysis and simultaneous testing of the results in the control group were statistically.Results ABP group testing of Hs-CRP,S-AMY,U-AMY were significantly higher than those in non ABP group and the control group,the difference was statistically significant（P 〈 0.01）;non ABP group testing of S-AMY,U-AMY levels higher than the control group,no significant difference （P 〉0.05）,the testing of Hs-CRP level is higher than that of control group,with a sta-tistically significant difference（P 〈0.05）;ABP group of three combined testing indexes,the positive rate and single tes-ting positive rate,the difference was statistically significant（P 〈0.05）;group ABP with single testing positive rate and the non ABP group single comparison,the difference was statistically significant （P 〈0.05）;the non ABP group,the three combined testing indexes,the positive rate and the positive rate of single testing,no significant difference（P 〉0.05）.Conclusion Hs-CRP combined with S-AMY,U-AMY indexes are helpful to improve the positive rate of ABP, and provide laboratory evidence has the reference value for the differential diagnosis,assessment of severity of ABP, therapeutic effect and prognosis judgment.
出处
《中国实验诊断学》
2015年第4期575-578,共4页
Chinese Journal of Laboratory Diagnosis
关键词
急性胆源性胰腺炎
淀粉酶
超敏C反应蛋白
Acute Biliary Pancreatitis
Amylase
High sensitivity C reactive protein
