中性粒细胞单核细胞乘积联合血肌酐诊断急性胰腺炎严重程度的价值

发布时间：2018-06-06 14:48

  本文选题：维吾尔族 + 急性胰腺炎　； 参考：《南方医科大学学报》2017年09期

【摘要】：目的探讨中性粒细胞单核细胞乘积(NMP)联合血肌酐判断急性胰腺炎严重程度的能力。方法回顾性分析120例维吾尔族急性胰腺炎患者临床资料,分非重症急性胰腺炎和重症急性胰腺炎两组。比较两组一般资料,评估NMP联合血肌酐与住ICU、住院死亡的相关性,通过ROC曲线下面积比较急性生理学和慢性健康评分Ⅱ、中性粒细胞淋巴细胞比值、NMP联合血肌酐判断急性胰腺炎严重程度的能力。结果入院24 h内NMP、血肌酐水平重症急性胰腺炎组均高于非重症急性胰腺炎组(P0.001);NMP联合血肌酐与住ICU、住院死亡均呈正相关(r=0.489,P0.001;r=0.383,P0.001);急性生理学和慢性健康评分Ⅱ与NMP联合血肌酐的ROC曲线下面积差异无统计学意义(Z=0.38,P=0.704),且均优于中性粒细胞淋巴细胞比值(Z=3.10,P=0.002;Z=2.43,P=0.016)。结论 NMP联合血肌酐可作为判断急性胰腺炎严重程度的一种简单而有效方法。
[Abstract]:Objective to investigate the ability of neutrophil monocyte product (NMPs) combined with serum creatinine to determine the severity of acute pancreatitis. Methods the clinical data of 120 Uygur patients with acute pancreatitis were retrospectively analyzed and divided into two groups: non severe acute pancreatitis and severe acute pancreatitis. To compare the general data of the two groups, to evaluate the correlation between NMP combined with serum creatinine and inpatient mortality, and to compare the area under the ROC curve between acute physiology and chronic health score 鈪，

本文编号：1987015