急性胰腺炎后期发生感染性胰腺坏死的相关因素分析

发布时间：2018-10-24 06:13

【摘要】：目的探讨急性胰腺炎后期发生感染性胰腺坏死的影响因素,为临床防治措施的制定提供理论依据。方法回顾性分析2013年1月-2016年7月医院收治的138例急性胰腺炎患者的临床资料,将发生感染性胰腺坏死的69例患者分为A组,将未发生感染性胰腺坏死的69例患者分为B组,对比两组患者的各项临床资料,并将其中有统计学意义的因素通过ROC曲线分析评价其对急性胰腺炎后期发生感染性胰腺坏死的预测价值。结果 A组入院APACHEⅡ评分(15.93±3.48)分,C-反应蛋白(280.08±59.13)mg/L,降钙素原(4.47±1.32)μg/L,均显著高于B组(P0.05);ROC曲线分析结果显示,入院APACHEⅡ评分的敏感度为88.3%,特异度为69.1%;C-反应蛋白的敏感度为82.1%,特异度为78.2%;降钙素原的敏感度为80.5%,特异度为71.5%(P均0.05)。结论 APACHEⅡ评分、C-反应蛋白和降钙素原与急性胰腺炎后期发生感染性胰腺坏死密切相关,重视上述指标的评估有助于早期诊断感染性胰腺坏死。
[Abstract]:Objective to investigate the influencing factors of infectious pancreatic necrosis in late stage of acute pancreatitis and to provide theoretical basis for clinical prevention and treatment. Methods the clinical data of 138 patients with acute pancreatitis admitted in our hospital from January 2013 to July 2016 were retrospectively analyzed. 69 patients with infectious pancreatic necrosis were divided into group A and 69 patients without infectious pancreatic necrosis were divided into group B. The clinical data of the two groups were compared, and the prognostic value of the statistically significant factors for infectious pancreatic necrosis in the late stage of acute pancreatitis was evaluated by ROC curve analysis. Results the scores of APACHE 鈪，

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