摘要
目的:探讨急性胰腺炎严重程度床边指数(BISAP)评分联合红细胞分布宽度(RDW)对急性胰腺炎(AP)严重程度的早期评估价值。方法:回顾性研究收集2015年10月—2017年11月我院收治的急性胰腺炎患者385例,按疾病严重程度分为轻症组(MAP)、中重症组(MSAP)及重症组(SAP),患者入院24 h内行血常规、尿素氮、血糖、血钙等检查,收集红细胞分布宽度并行BISAP评分,采用方差分析法比较三组数据间的统计学差异,同时绘制RDW联合BISAP评分预测AP病情的受试者工作特征曲线,分析其预测价值。结果:轻症组、中重症组和重症型BISAP评分、红细胞分布宽度均依次升高,三组RDW、BISAP评分差异有统计学意义(P<0.05),RDW与BISAP评分呈正相关(r=0.384,P<0.01)。BISAP评分、RDW联合BISAP评分预测AP病情的ROC曲线下面积分别为0.879、0.894,敏感性分别为77.3%、95.5%,特异性分别为85.3%、76.5%。结论:随AP患者病情加重,其BISAP评分及RDW均升高,二者联合有助于预测患者病情。
Objective： To investigate the bedside index for severity in acute pancreatitis（BISAP）score combined with red cell distribution width（red cell distribution width, RDW） on acute pancreatitis（AP） and early assessment of the severity of value. Methods： 385 patients with acute pancreatitis were collected from October 2015 to November 2017 in our hospital, according to the severity of the disease were divided into mild group（MAP）, moderately severe group（MSAP） and severe group（SAP）, patients admitted to hospital within 24 h, blood urea nitrogen, blood glucose, blood examination,collection of red blood cells in parallel the BISAP score distribution width, using analysis of variance statistical differences between three groups of data, and draw the RDW combined with BISAP score in predicting the progression of AP receiver operating characteristic curve analysis and its predictive value. Results： Mild group, moderately severe group, severe BISAP score and red blood cell distribution 0 width increased sequentially. There was a significant difference in RDW and BISAP scores between the three groups（P〈0.05）, and RDW was positively correlated with BISAP score（r=0.384, P〈0.01）. The area under the curve of BISAP score, RDW combined with BISAP score for predicting AP disease was 0.879 and 0.894 respectively, and the sensitivity was 77.3%, 95.5%, and the specificity was 85.3% and 76.5%. Conclusion： With the aggravation of AP patients, both the BISAP score and the RDW increase. The combination of the two is helpful to predict the patient＇s condition.
作者
杨创
陈兆生
马承恩
YANG Chuang;CHEN Zhao-sheng;MA Cheng-en(Department of Critical Medicine;Department of Digestive Internal Medicine,the Sec-ond Hospital of Shandong University（Jinan 250033,China)
出处
《中国现代普通外科进展》
CAS
2018年第4期284-286,291,共4页
Chinese Journal of Current Advances in General Surgery
作者简介
杨创（1984-01～），男，山东济南人，硕士，研究方向：各种危重症疾病的诊断及治疗的研究。E—mail：15063376878@139．com
