临床医学研究与实践2024，Vol.9Issue(20) ：18-21.DOI:10.19347/j.cnki.2096-1413.202420005

CT评分系统联合MPV、RDW对急性胰腺炎患者预后的预测价值

Predictive value of CT scoring system combined with MPV and RDW for the prognosis of patients with acute pancreatitis

刘蕃荔 洪英 张宏 曹媛媛 龚喆嘉 雷方 王卓 庄瑞
临床医学研究与实践2024，Vol.9Issue(20) ：18-21.DOI:10.19347/j.cnki.2096-1413.202420005
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CT评分系统联合MPV、RDW对急性胰腺炎患者预后的预测价值

Predictive value of CT scoring system combined with MPV and RDW for the prognosis of patients with acute pancreatitis

刘蕃荔 1洪英 1张宏 1曹媛媛 1龚喆嘉 1雷方 1王卓 1庄瑞2
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作者信息

  • 1. 陕西省勉县医院,陕西汉中,724200
  • 2. 汉中市中心医院,陕西汉中,723000
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摘要

目的 分析CT评分系统联合平均血小板体积(MPV)、红细胞分布宽度(RDW)对急性胰腺炎患者预后的预测价值.方法 选取2019年6月至2022年6月收治的106例急性胰腺炎患者进行回顾性分析,根据预后情况将其分为死亡组(16例)和存活组(90例).比较两组的一般资料及实验室指标;分析CT评分系统联合MPV、RDW对急性胰腺炎患者预后的预测效能.结果 死亡组的急性生理学与慢性健康状况评分系统Ⅱ(APACHE Ⅱ)、改良CT严重指数(MCTSI)评分及MPV、RDW高于存活组(P＜0.05).Logistic回归分析显示,APACHE Ⅱ、MCTSI评分、MPV、RDW是急性胰腺炎患者预后不良的危险因素(P＜0.05).CT评分系统、MPV、RDW联合预测急性胰腺炎患者预后的准确度、灵敏度、特异度明显高于CT评分系统及MPV、RDW(P＜0.05).结论 CT评分系统联合MPV、RDW对急性胰腺炎患者预后的预测价值较高.

Abstract

Objective To analyze the predictive value of CT scoring system combined with mean platelet volume(MPV)and red blood cell distribution width(RDW)in the prognosis of patients with acute pancreatitis.Methods One hundred and six patients with acute pancreatitis admitted in our hospital from June 2019 to June 2022 were selected for retrospective analysis.According to the prognosis,the patients were divided into death group(16 cases)and survival group(90 cases).The general data and laboratory indexes of the two groups were compared;the predictive efficacy of CT scoring system combined with MPV and RDW on the prognosis of patients with acute pancreatitis was analyzed.Results The Acute Physiology and Chronic Health EvaluationⅡ(APACHE Ⅱ),Modified CT Severity Index(MCTSI)scores,MPV and RDW in the death group were higher than those in the survival group(P＜0.05).Logistic regression analysis showed that APACHE Ⅱ,MCTSI scores,MPV and RDW were risk factors for poor prognosis in patients with acute pancreatitis(P＜0.05).The accuracy,sensitivity and specificity of combined prediction of CT scoring system,MPV and RDW on prognosis in patients with acute pancreatitis were significantly higher than those of CT scoring system and MPV and RDW(P＜0.05).Conclusion CT scoring system combined with MPV and RDW has a high predictive value for the prognosis of patients with acute pancreatitis.

关键词

CT评分系统/急性胰腺炎/平均血小板体积/红细胞分布宽度

Key words

CT scoring system/acute pancreatitis/mean platelet volume/red blood cell distribution width

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出版年

2024
临床医学研究与实践

临床医学研究与实践

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