简易评分法对急性胰腺炎病情严重程度评估的价值(1)
摘 要：目的 词探讨简易评分法对于急性胰腺炎的临床应用价值。方法 选取2011年3月～2016年10月鄂尔多斯市中心医院临床诊断为急性胰腺炎的患者120例，分别采用简易评分法、APACHEⅡ、Ranson、CTSI评分法对患者评分。比较4种评分标准诊断重症胰腺炎的阳性率、敏感度、特异度。结果 简易评分法诊断重症胰腺炎的阳性率为11.67%，与APACHEⅡ比较，差异有统计学意义(P<0.05)，但敏感度与APACHEⅡ接近。简易评分法与Ranson、CTSI诊断重症胰腺炎的阳性率比较，差异无统计学意义(P>0.05)。在诊断重症胰腺炎的特异度方面，简易评分法最高，为97.37%。结论 简易评分法诊断重症胰腺炎的阳性率、敏感度与其他方法接近，特异度在较高范围，评估方法简便，无时限性。
关键词：简易评分法;急性胰腺炎;阳性率;敏感度
中图分类号：R657.51 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.21.049
, http://www.100md.com
文章編号：1006-1959(2018)21-0167-03
The Value of Simple Scoring Method in Evaluating the Severity of Acute Pancreatitis
LI Yong-mei，YAN Guo-bao
(Department of Digestive Medicine，Ordos Central Hospital，Ordos 017000，Inner Mongolia，China)
Abstract：Objective To evaluate the clinical value of simple scoring method in acute pancreatitis.Methods From March 2011 to October 2016， 120 patients with acute pancreatitis were selected from Ordos Central Hospital. The patients were scored by simple score method， APACHE Ⅱ and Ranson，CTSI scoring method respectively and compare the positive rate， sensitivity and specificity of the four scoring criteria in the diagnosis of severe pancreatitis.Results The positive rate of simple scoring method in the diagnosis of severe pancreatitis was 11.67%. The difference was statistically significant compared with that of APACHE Ⅱ(P<0.05).But the sensitivity is close to that of APACHE Ⅱ.There was no significant difference between the simple score method and Ranson，CTSI in the diagnosis of severe pancreatitis(P>0.05).In the diagnosis of severe pancreatitis， the specificity of simple scoring method is the highest， which was 97.37%.Conclusion The sensitivity of the simple scoring method in the diagnosis of severe pancreatitis is close to that of other methods， the specificity is in a higher range， and the evaluation method is simple and time-free.
Key words：Simple scoring method;Acute pancreatitis;Positive rate;Sensitivity
急性胰腺炎(acute pancreatitis)是临床上常见的疾病，轻型胰腺炎预后好，重症胰腺炎病情凶险，有一定的病死率，临床早期诊断对治疗该病具有重要意义。目前临床上应用最广泛的是APACHEⅡ、Ranson和Bahhazar CT严重指数(CTSI)。但是这3种方法计算复杂、有时限性或依赖设备，临床上缺乏一种简便易行的评估急性胰腺炎病情的方法。我科根据患者入院时症状体征设计出一项评估急性胰腺炎病情的简易评分法，本文探索简易评分法评估急性胰腺炎病情方面的临床应用价值。现报告如下。, http://www.100md.com(李咏梅 阎国宝)
关键词：简易评分法;急性胰腺炎;阳性率;敏感度
中图分类号：R657.51 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.21.049
, http://www.100md.com
文章編号：1006-1959(2018)21-0167-03
The Value of Simple Scoring Method in Evaluating the Severity of Acute Pancreatitis
LI Yong-mei，YAN Guo-bao
(Department of Digestive Medicine，Ordos Central Hospital，Ordos 017000，Inner Mongolia，China)
Abstract：Objective To evaluate the clinical value of simple scoring method in acute pancreatitis.Methods From March 2011 to October 2016， 120 patients with acute pancreatitis were selected from Ordos Central Hospital. The patients were scored by simple score method， APACHE Ⅱ and Ranson，CTSI scoring method respectively and compare the positive rate， sensitivity and specificity of the four scoring criteria in the diagnosis of severe pancreatitis.Results The positive rate of simple scoring method in the diagnosis of severe pancreatitis was 11.67%. The difference was statistically significant compared with that of APACHE Ⅱ(P<0.05).But the sensitivity is close to that of APACHE Ⅱ.There was no significant difference between the simple score method and Ranson，CTSI in the diagnosis of severe pancreatitis(P>0.05).In the diagnosis of severe pancreatitis， the specificity of simple scoring method is the highest， which was 97.37%.Conclusion The sensitivity of the simple scoring method in the diagnosis of severe pancreatitis is close to that of other methods， the specificity is in a higher range， and the evaluation method is simple and time-free.
Key words：Simple scoring method;Acute pancreatitis;Positive rate;Sensitivity
急性胰腺炎(acute pancreatitis)是临床上常见的疾病，轻型胰腺炎预后好，重症胰腺炎病情凶险，有一定的病死率，临床早期诊断对治疗该病具有重要意义。目前临床上应用最广泛的是APACHEⅡ、Ranson和Bahhazar CT严重指数(CTSI)。但是这3种方法计算复杂、有时限性或依赖设备，临床上缺乏一种简便易行的评估急性胰腺炎病情的方法。我科根据患者入院时症状体征设计出一项评估急性胰腺炎病情的简易评分法，本文探索简易评分法评估急性胰腺炎病情方面的临床应用价值。现报告如下。, http://www.100md.com(李咏梅 阎国宝)