摘要
目的以2000年杭州会议制订的重症急性胰腺炎诊治草案为标准评价Ranson、Glascow评分系统对急性胰腺炎(acutepancreatitis,AP)严重程度的预测价值。方法回顾311例AP的临床资料,进行不同的分组研究,并使用SPSS10.0完成统计分析。两个率的比较应用卡方χ2和Fisher精确检验方法进行统计学分析。结果Ranson≥3和Glascow≥3是预测AP严重程度的有效指标,其诊断重症急性胰腺炎(severe acute pancreatitis,SAP)的敏感性和特异性分别为47%,99.6%和82.4%,99%;评分系统中血钙<2mmol/L;低蛋白血症(ALB<32g/L);高血糖(Glu>11.2mmol/L)及高龄(age>60岁)均可作为独立因素对病情的严重性进行判断。结论Ranson及Glascow评分及其组成成分包括高龄、低血钙、低蛋白血症及高血糖均能很好的对AP严重程度进行预测。
Objective To access the prognostic accuracy of Ranson and Glascow scoring system in predicting the severity of acute pancreatitis （AP）. Methods Clinical data of 311 cases of AP was compared by different groups and analyzed retrospectively （statistical process is helped by SPSS 10.0）. Results Ranson 1≥3 and Glascow 1≥ 3 both demonstrate good sensitivity and specificity, respectively 47% ,99.6% and 82.4% ,99%. Some independent factors of scoring system such as low serum calcium, low serum album, high blood glucose and age≥60 all can predict the severity of AP. Conclusion Ranson and Glascow criteria and some independent factors are valid and recommended to predicting the severity of AP.
出处
《中国医刊》
CAS
2005年第11期29-30,共2页
Chinese Journal of Medicine
