急性胰腺炎中白细胞、白蛋白及血糖的研究

目的探讨急性胰腺炎(AP)白细胞计数、血浆白蛋白和血糖的变化及其临床意义。方法分别测定34例轻型急性胰腺炎(MAP)和35例重症急性胰腺炎(SAP)患者第0,1,3,7,10天的白细胞计数、血浆白蛋白及血糖水平,并对所测得的结果进行比较、统计学分析。结果 AP患者的白细胞计数及血糖均有显著的升高,且SAP组白细胞计数及血糖水平与MAP组比较差异有统计学意义(P<0.05);SAP组的血浆白蛋白水平与MAP组比较显著降低(P<0.05)。SAP组白细胞计数、血糖升高及白蛋白较低的发生率显著高于MAP组(P<0.05)。结论白细胞计数、血浆白蛋白及血糖可以作为评价急性胰腺炎严重程度及疗效的指标,其临床监测更简便、直观,值得广泛应用。

Research of White Blood Cell,Plasma Albumin and Blood Glucose in Patients with Acute Pancreatitis

Objective To investigate white blood cell count,plasma albumin and changes of blood glucose and its clinical significance about acute pancreatitis(AP).Methods White blood cell count,plasma albumin and changes of blood glucose were measured in 34 cases of mild acute pancreatitis(MAP) and 35 cases of severe acute pancreatitis(SAP) patients on 0 d,1 d,3 d,7 d,10 d,the results were compared,and the statistical analysis was conducted.Results White blood cell count and blood sugar in patients with AP increased significantly,and white blood cell count and blood sugar levels in MAP group compared with SAP group had significant difference(P<0.05);the plasma albumin level was significantly lower in SAP compared with group MAP(P<0.05).SAP group of white blood cell count,blood glucose and albumin lower incidence rates were significantly higher than that of MAP group(P<0.05).Conclusion White blood cell count,plasma albumin and blood sugar can be used as indicators to evaluate the severity of acute pancreatitis,clinical monitoring was simple and intuitive,it was worth the extensive application.