首页|超声联合血清RDW、ApoA1诊断重症急性胰腺炎的价值

超声联合血清RDW、ApoA1诊断重症急性胰腺炎的价值

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目的 探讨超声联合血清红细胞分布宽度(RDW)、载脂蛋白A1(ApoA1)诊断重症急性胰腺炎(SAP)的价值.方法 选取 2020 年 2 月至 2023 年 2 月我院收治的 80 例AP患者作为观察组,分为MAP组(n = 52)和SAP组(n = 28).以同期 80 例健康人为对照组.检测两组的RDW、ApoA1 水平,并接受超声检测,分析超声联合RDW、ApoA1 诊断SAP的价值.结果 观察组RDW高于对照组,ApoA1 低于对照组(P<0.05).SAP组RDW高于MAP组,ApoA1 低于MAP组(P<0.05).超声、RDW、ApoA1 联合检测诊断SAP的AUC为 0.889,高于三项单独检测的 0.733、0.739、0.741(P<0.05).结论 超声联合RDW、ApoA1 诊断SAP的价值较高,可提高对SAP的检出率.
Value of Ultrasound Combined with Serum RDW and ApoA1 in the Diagnosis of Severe Acute Pancreatitis
Objective To explore the value of ultrasound combined with serum red blood cell distribution width(RDW)and apolipoprotein A1(ApoA1)in the diagnosis of severe acute pancreatitis(SAP).Methods 80 AP patients admitted to our hospital from February 2020 to February 2023 were selected as observation group,and divided into MAP group(n = 52)and SAP group(n = 28).80 healthy people were selected as control group.The RDW and ApoA1 levels of the two groups were detected by ultrasound,and the value of ultrasound combined with RDW and ApoA1 in the diagnosis of SAP was analyzed.Results The RDW of the observation group was higher than that of the control group,and the ApoA1 was lower than that of the control group(P<0.05).The RDW of the SAP group was higher than that of the MAP group,and ApoA1 level was lower than that of the MAP group(P<0.05).The AUC of ultrasound,RDW combined with ApoA1 in the diagnosis of SAP were 0.889,higher than 0.733,0.739 and 0.741 for single detection(P<0.05).Conclusions Ultrasound combined with RDW and ApoA1 has higher value in the diagnosis of SAP,and can improve the detection rate of SAP.

UltrasoundRed blood cell distribution widthApolipoprotein A1Severe acute pancreatitis

王东玲、郑莹、田晓亚

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许昌中医院彩超室,河南许昌 461000

超声 红细胞分布宽度 载脂蛋白A1 重症急性胰腺炎

河南省高等学校重点科研项目

24B360008

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(1)
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