摘要
目的探讨早期红细胞压积(Hct)、血糖变化对重症急性胰腺炎(SAP)的预测价值。方法回顾性分析187例急性胰腺炎(AP)患者的临床资料,评估入院24h内Hct和血糖变化对预测SAP的诊断效率。结果SAP组血糖较轻症急性胰腺炎(MAP)组明显升高,两组差异具有统计学意义(P<0.05)。早期血糖变化诊断SAP的敏感度为76.7%,特异度为42.4%,阳性预测值为28.45%,阴性预测值分别为85.92%,约登指数为0.191。结论早期红细胞压积预测AP严重程度无意义;早期血糖高低可作为预测AP严重程度的一项独立指标,即血糖不升高者发生SAP的可能性较小。
Objective To Investigate and discuss early phase packed cell volume （Hct）, blood sugar change to severe acute pancreatitis （SAP） forecasts value. Methods Retrospectively analyse clinical data of 187 acute pancreatitis （AP） patients, efficiency estimating that 24 hours of inner Hct and blood sugar change the diagnose to forecasting SAP being hospitalized. Results SAP group blood sugar pancreatitis （MAP） than not serious disease rises obviously, difference has statistic significance between two groups （P 〈 0. 05 ）. Early phase blood sugar changes diagnosing SAP susceptibility being 76. 7% ,distinctive degree is 42. 4%, positive prediction value being 28. 45%, negative prediction value being 85.92% respectively, the Yuedeng index is 0. 191. Conclusion Early phase packed cell volume prediction the AP severity nothing significance; Early phase blood sugar height may be independent one index prediction AP severity, the possibility being that blood sugar does not elevate person SAP happening is less.
出处
《医药论坛杂志》
2009年第12期7-8,共2页
Journal of Medical Forum
关键词
红细胞压积
血糖
急性胰腺炎
RBC packed cell volume
Blood sugar
Pancreatitis
