【摘要】：目的比較5種評分系統(tǒng)對急性胰腺炎病情的預(yù)測價值,為臨床選擇合適地預(yù)測急性胰腺炎病情的評分系統(tǒng)提供依據(jù)。方法分析113例急性胰腺炎患者的Ranson評分、APACHEⅡ評分、BISAP評分、CT嚴(yán)重程度指數(shù)(CTSI)評分和胰腺外炎癥CT(EPIC)評分結(jié)果,繪制各評分系統(tǒng)預(yù)測患者輕重分型、局部并發(fā)癥、全身并發(fā)癥、器官衰竭的受試者工作特征曲線,并比較其曲線下面積(AUC)。結(jié)果 EPIC評分系統(tǒng)預(yù)測患者局部并發(fā)癥的AUC高于Ranson評分、APACHEⅡ評分、BISAP評分系統(tǒng),CTSI評分系統(tǒng)高于Ranson評分、APACHEⅡ評分系統(tǒng)(P均0.05)。APACHEⅡ評分系統(tǒng)預(yù)測患者器官衰竭的AUC高于CTSI評分系統(tǒng)(P0.05)。5種評分系統(tǒng)預(yù)測患者輕重分型、全身并發(fā)癥的AUC比較差異無統(tǒng)計學(xué)意義(P均0.05)。結(jié)論 EPIC評分、CTSI評分系統(tǒng)對急性胰腺炎局部并發(fā)癥的預(yù)測價值較高,而APACHEⅡ評分系統(tǒng)對器官衰竭的預(yù)測價值較高。
[Abstract]:Objective to compare the value of five scoring systems in predicting the severity of acute pancreatitis (AP), and to provide evidence for clinical selection of a suitable scoring system for predicting the severity of acute pancreatitis (AP). Methods the Ranson score, Apache 鈪，

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