首页|急性胰腺炎肝素结合蛋白动态分析及基线肝素结合蛋白与患者预后的相关性

急性胰腺炎肝素结合蛋白动态分析及基线肝素结合蛋白与患者预后的相关性

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目的 分析急性胰腺炎肝素结合蛋白(HBP)动态变化及基线HBP与患者预后的相关性.方法 选取2021 年12 月至2023 年12 月河北省秦皇岛市第一医院消化内科收治的150 例急性胰腺炎(AP)患者为研究对象,根据预后结果将患者分为预后不良组(49 例)和预后良好组(101 例),测量2 组HBP水平变化并记录预后情况,应用多因素logistic回归分析AP患者预后的独立危险因素,ROC曲线分析各危险因素对AP患者预后预测价值.结果 2 组患者住院期间HBP水平逐渐降低;多因素logistic回归分析显示,高HBP水平(OR=2.658)、高基线降钙素原(OR=2.771)、高基线C-反应蛋白(OR=1.125)为AP患者预后独立危险因子(P<0.05);ROC曲线显示,HBP水平预测AP患者预后的最佳截断值为7.400 ng/mL.结论 AP患者住院期间HBP水平逐渐降低,基线HBP水平与AP患者预后独立相关,不良预后的最佳HBP截断值为7.400 ng/mL.
Dynamic Analysis of Heparin-Binding Protein in Acute Pancreatitis and the Correlation between Baseline Heparin-Binding Protein and Patient Progno-sis
Objective To analyze the dynamic changes of heparin-binding protein(HBP)in acute pancreatitis(AP)and the correlation between baseline HBP and patient prognosis.Methods 150 patients with AP treated at department of gas-troenterology,Hebei Qinhuangdao first hospital from December 2021 to December 2023 were included,49 cases showed a poor prognosis(poor prognosis group),and 101 cases showed a good prognosis(good prognosis group).Their HBP levels were measured and their prognosis was recorded.Multivariate logistic regression analysis was performed to analyze the independent risk factors for the prognosis of AP patients,and ROC curve analysis was applied to analyze the predictive value of these risk factors in predicting the prognosis of AP patients.Results The level of HBP in two groups patients decreased gradually dur-ing hospitalization;Multivariate logistic regression analysis showed that high HBP level(OR=2.658),high baseline procalci-tonin(OR=2.771),and high baseline C-reactive protein(OR=1.125)were independent risk factors for the prognosis of AP patients(P<0.05).ROC curve analysis revealed that the optimal cutoff point for HBP level to predict the prognosis of AP patients is 7.400 ng/mL.Conclusion HBP levels in patients with acute pancreatitis gradually decrease during hospitaliza-tion.Baseline HBP levels are independently associated with the prognosis of patients with acute pancreatitis.The best HBP cut-off point for poor prognosis is 7.400 ng/mL.

Heparin-binding proteinAcute pancreatitisTreatment responsePrognosis

马晓莹、朱芳丽、杨悦、乔红、刘烨、马厉英、韩俊岭

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066000 河北 秦皇岛,河北省秦皇岛市第一医院消化内科

肝素结合蛋白 急性胰腺炎 治疗反应性 预后

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(7)