本文選題：急性胰腺炎 + 纖維蛋白質(zhì)�。� 參考：《重慶醫(yī)學(xué)》2017年31期

【摘要】：目的探討常見生化指標(biāo)聯(lián)合檢測(cè)對(duì)急性胰腺炎(AP)病情嚴(yán)重程度的評(píng)估價(jià)值。方法選取該院于2014年1月至2016年4月收治的120例AP患者,按照患者的病情嚴(yán)重程度將其分為重度AP組、中度AP組、輕度AP組,比較各組患者淀粉酶、纖維蛋白原、C反應(yīng)蛋白(CRP)、D-二聚體、尿素氮及血鈣等實(shí)驗(yàn)室指標(biāo),各組患者均采用急性生理學(xué)與慢性健康評(píng)估系統(tǒng)Ⅱ(APACHEⅡ)進(jìn)行評(píng)分,并分析各組患者APACHEⅡ評(píng)分與各實(shí)驗(yàn)室指標(biāo)的關(guān)系。結(jié)果輕度AP組患者的APACHEⅡ評(píng)分及纖維蛋白原、D-二聚體、CRP、尿素氮等水平顯著低于中度AP組和重度AP組患者(均P0.05),而輕度AP組患者的血鈣濃度則顯著高于中度AP組和重度AP組患者(均P0.05);中度AP組患者的APACHEⅡ評(píng)分顯著低于重度AP組患者(P0.05)。患者的APACHEⅡ評(píng)分與淀粉酶水平?jīng)]有明顯相關(guān)性(r=-0.152,P0.05),與血鈣水平呈負(fù)相關(guān)關(guān)系(r=-0.342,P0.05),與其纖維蛋白原、D-二聚體、CRP等水平呈正相關(guān)關(guān)系(r=0.238、0.411、0.413,均P0.05)。結(jié)論聯(lián)合檢測(cè)血鈣、CRP、尿素氮、D-二聚體等常見的生化指標(biāo)有助于對(duì)AP患者的病情嚴(yán)重程度進(jìn)行評(píng)估,從而改善患者的預(yù)后。
[Abstract]:Objective to evaluate the value of combined detection of common biochemical markers in evaluating the severity of acute pancreatitis (AP). Methods 120 patients with AP admitted from January 2014 to April 2016 were divided into severe AP group, moderate AP group and mild AP group according to the severity of the disease. The plasma fibrinogen C-reactive protein (CRP) C-reactive protein (CRP) -dimer, urea nitrogen, blood calcium and other laboratory indexes were evaluated by acute physiology and chronic health assessment system 鈪，

本文編號(hào)：1909707