The clinical value of ALBI score combined with NLR and CRP in the diagnosis of liver cirrhosis complicated with spontaneous bacterial peritonitis
Objective To investigate the diagnostic value of ALBI score combined with NLR and CRP in patients with liver cirrhosis and ascites complicated with spontaneous bacterial peritonitis(SBP).Methods A total of 134 cirrhotic ascites patients admitted to the First People's Hospital of Qujing City January 2018 to September 2022 were divided into SBP group and non-SBP group.The independent risk factors of SBP were screened out by Logistic regression analysis of the patients'clinical data,and the combined model was established by coefficient method and the working curve of subjects was drawn to evaluate the diagnostic value of each index and combined model for cirrhosis complicated with SBP.Results ALBI score,NLR and CRP were independent risk factors for SBP in patients with liver cirrhosis.The area under the curve of ALBI score,NLR,CRP and ALBI-NLR-CRP combined model in the diagnosis of SBP was 0.715(95％CI:0.627-0.802,P＜0.05)and 0.808(95％CI:0.627-0.802,P＜0.05)respectively.0.715-0.866,P＜0.05),0.790(95％CI:0.736-0.879,P＜0.05),0.880(95％CI:0.820-0.940,P＜0.05),the sensitivity was 66.30％,65.10％,77.10％,77.10％respectively,and the specificity was 70.60％,88.20％,72.50％,94.10％respectively.Conclusions ALBI,NRL and CRP are all independent evaluation indicators of secondary SBP in patients with liver cirrhosis and ascites.The combined model of ALBI-NLR-CRP is simple,non-invasive and inexpensive,and has important application value in the diagnosis of secondary SBP of cirrhosis.
cirrhosisspontaneous bacterial peritonitisalbumin-bilirubin scoreneutrophil-lymphocyte ratioC-reactive protein
万方数据
维普
