【摘要】：目的探討急性胰腺炎后期發(fā)生感染性胰腺壞死的影響因素,為臨床防治措施的制定提供理論依據(jù)。方法回顧性分析2013年1月-2016年7月醫(yī)院收治的138例急性胰腺炎患者的臨床資料,將發(fā)生感染性胰腺壞死的69例患者分為A組,將未發(fā)生感染性胰腺壞死的69例患者分為B組,對(duì)比兩組患者的各項(xiàng)臨床資料,并將其中有統(tǒng)計(jì)學(xué)意義的因素通過(guò)ROC曲線分析評(píng)價(jià)其對(duì)急性胰腺炎后期發(fā)生感染性胰腺壞死的預(yù)測(cè)價(jià)值。結(jié)果 A組入院APACHEⅡ評(píng)分(15.93±3.48)分,C-反應(yīng)蛋白(280.08±59.13)mg/L,降鈣素原(4.47±1.32)μg/L,均顯著高于B組(P0.05);ROC曲線分析結(jié)果顯示,入院APACHEⅡ評(píng)分的敏感度為88.3%,特異度為69.1%;C-反應(yīng)蛋白的敏感度為82.1%,特異度為78.2%;降鈣素原的敏感度為80.5%,特異度為71.5%(P均0.05)。結(jié)論 APACHEⅡ評(píng)分、C-反應(yīng)蛋白和降鈣素原與急性胰腺炎后期發(fā)生感染性胰腺壞死密切相關(guān),重視上述指標(biāo)的評(píng)估有助于早期診斷感染性胰腺壞死。
[Abstract]:Objective to investigate the influencing factors of infectious pancreatic necrosis in late stage of acute pancreatitis and to provide theoretical basis for clinical prevention and treatment. Methods the clinical data of 138 patients with acute pancreatitis admitted in our hospital from January 2013 to July 2016 were retrospectively analyzed. 69 patients with infectious pancreatic necrosis were divided into group A and 69 patients without infectious pancreatic necrosis were divided into group B. The clinical data of the two groups were compared, and the prognostic value of the statistically significant factors for infectious pancreatic necrosis in the late stage of acute pancreatitis was evaluated by ROC curve analysis. Results the scores of APACHE 鈪，

本文編號(hào)：2290545