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红细胞分布宽度与急性胰腺炎严重程度的关系
李艳,李家瑞
0
天津市南开医院重症医学科(天津 300100)
摘要:
目的:研究红细胞分布宽度(RDW)与急性胰腺炎严重程度的关系。方法:选取 100 例急性胰腺炎患者,将其分为轻型急性胰腺炎(MAP)和中重型急性胰腺炎(MSAP)两组。分析两组患者 RDW 的变化及与 APACHE-II 评分、Ranson 评分、白细胞数(WBC)、降钙素原(PCT)、C- 反应蛋白(CRP)相关性。利用受试者工作特征曲线(ROC)及曲线下面积(AUC)来分析 RDW 对急性胰腺炎严重程度和预后的价值。结果:患者 RDW 与 APACHE-II 评分、Ranson 评分、WBC、PCT、CRP 呈正相关性。RDW、APACHE II 评分、Ranson 评分的 ROC 曲线下面积(AUC)分别为 0.850、0.763、0.675。结论:红细胞分布宽度是一项易获得、方便、经济的预测急性胰腺炎严重程度的指标。
关键词:  急性胰腺炎  红细胞分布宽度  急性生理和慢性健康状况评分 II  降钙素原  C 反应蛋白
DOI:10.3969/j.issn.1007-6948.2019.02.005
基金项目:
Relationship between Red Cell Distribution Width and Acute Pancreatitis
LI Yan,LI Jian-rui
Intenstive Care Unit, Tianjin NanKai Hospital, Tianjin (300100), China
Abstract:
Objective To investigate the relationship between red cell distribution width (RDW) and acute pancreatitis. Methods A total of 100 patients with acute pancreatitis were divided into two groups, mild acute pancreatitis (MAP) group and moderately severe acute pancreatitis (MSAP) group. RDW was detected and compared between the two groups, and the correlation between APACHE-II score and Ranson score, white blood cell count (WBC), procalcitonin (PCT), and C-reactive protein (CRP) was assessed. The value of RDW for the severity and prognosis of acute pancreatitis was analyzed using receiver operating characteristic curve (ROC) and the area under the curve (AUC). Results Correlation analysis showed that RDW was positively related to APACHE-II score, Ranson score, WBC, PCT and CRP. The AUC of RDW, APACHE II score and Ranson score were 0.850, 0.763 and 0.675, respectively. Conclusion RDW is an easy, convenient and economical indicator for predicting the severity of acute pancreatitis.
Key words:  Acute pancreatitis  red cell distribution width  acute physiology and chronic health evaluation II  procalcitonin  C-reactive protein

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