首页|C反应蛋白、血清淀粉酶、脂肪酶在急性胰腺炎患者中的诊断研究

C反应蛋白、血清淀粉酶、脂肪酶在急性胰腺炎患者中的诊断研究

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目的 探讨对急性胰腺炎患者实施C反应蛋白、血清淀粉酶、脂肪酶诊断的临床价值.方法 选取2022年1-12月太仓市中医医院收治的95例急性胰腺炎患者作为研究组,选取同期95例健康体检者作为参照组.两组均合理展开C反应蛋白、血清淀粉酶、脂肪酶检测,对比各诊断方法的诊断效能.结果 C反应蛋白+血清淀粉酶诊断灵敏度、特异度以及准确度分别为73.68%、89.47%、81.58%;C反应蛋白+脂肪酶诊断灵敏度、特异度以及准确度分别为72.63%、89.47%、81.05%;C反应蛋白+血清淀粉酶+脂肪酶诊断灵敏度、特异度以及准确度分别为98.95%、97.89%、98.42%;C反应蛋白+血清淀粉酶+脂肪酶诊断灵敏度、特异度以及准确度相较C反应蛋白+血清淀粉酶、C反应蛋白+脂肪酶诊断灵敏度、特异度以及准确度,表现为明显提升,差异有统计学意义(P均<0.05).结论 急性胰腺炎应用C反应蛋白+血清淀粉酶+脂肪酶检测联合诊断,可显著提升诊断灵敏度以及特异度,从而为急性胰腺炎疾病临床确诊以及顺利治疗奠定基础.
Diagnostic Study of C-reactive Protein,Serum Amylase and Lipase in Pa-tients with Acute Pancreatitis
Objective To investigate the clinical value of C-reactive protein,serum amylase and lipase diagnosis in patients with acute pancreatitis.Methods 95 patients with acute pancreatitis admitted in Taicang Hospital of Tradi-tional Chinese Medicine from January to December 2022 were selected as the study group,and 95 healthy physical ex-amination objects at the same period were selected as the reference group.C-reactive protein,serum amylase and li-pase were detected rationally in the two groups,and the diagnostic efficiency of each diagnostic method was compared.Results The diagnostic sensitivity,specificity and accuracy of C-reactive protein + serum amylase were 73.68%,89.47%and 81.58%,respectively.The diagnostic sensitivity,specificity and accuracy of C-reactive protein + lipase were 72.63%,89.47%and 81.05%,respectively.The diagnostic sensitivity,specificity and accuracy of C-reactive pro-tein + serum amylase + lipase were 98.95%,97.89%and 98.42%,respectively.The diagnostic sensitivity,specificity and accuracy of C-reactive protein + serum amylase + lipase were significantly improved compared with C-reactive protein + serum amylase and C-reactive protein + lipase,and the differences were statistically significant(all P<0.05).Conclusion The combined diagnosis of acute pancreatitis with C-reactive protein + serum amylase + lipase de-tection can significantly improve the diagnostic sensitivity and specificity,thus laying a foundation for clinical diagno-sis and successful treatment of acute pancreatitis.

C-reactive proteinSerum amylaseLipaseAcute pancreatitis

杨秋兰、袁俊蓉

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太仓市中医医院检验科,江苏太仓 215400

C反应蛋白 血清淀粉酶 脂肪酶 急性胰腺炎

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(4)
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