| 血清钙和C反应蛋白早期预测急性胰腺炎危重度的价值 |
| |
| 引用本文： | 许峰. 血清钙和C反应蛋白早期预测急性胰腺炎危重度的价值[J]. 蚌埠医学院学报, 2011, 36(12): 1314-1316 |
| |
| 作者姓名： | 许峰 |
| |
| 作者单位： | 安徽省池州市第二人民医院消化内科, 247100 |
| |
| 摘 要： | 目的:探讨血清钙和C反应蛋白(CRP)对急性胰腺炎(AP)危重程度的早期预测价值。方法:检测52例轻型AP(MAP)和21例重症AP(SAP)患者发病1~4天血清钙和CRP水平,并对这2项指标预测SAP的价值进行评估。结果:入院第1天,AP患者血清CRP水平即明显增高,第2天达高峰,SAP组比MAP组增幅更为显著(P<0.01);此时CRP诊断SAP的灵敏度、特异度和ROC曲线下面积分别为87.3%、91.8%和0.924。MAP组患者血清钙无明显变化(P>0.05),而SAP组患者入院第1天血清钙水平即显著降低(P<0.01),随着时间推移,血清钙水平继续下降;血清钙诊断SAP的灵敏度、特异度和ROC曲线下面积分别为82.4%、86.1%和0.876。结论:血清钙和CRP可作为早期判断AP严重程度的可靠指标。
|
| 关 键 词： | 胰腺炎 钙 C反应蛋白 严重度预测 |
| 收稿时间： | 2010-10-15 |
Role of serum calcium and C reaction protein in early prediction of the severity of acute pancreatitis |
| |
| XU Feng. Role of serum calcium and C reaction protein in early prediction of the severity of acute pancreatitis[J]. Journal of Bengbu Medical College, 2011, 36(12): 1314-1316 |
| |
| Authors: | XU Feng |
| |
| Affiliation: | Department of Gastroenterology, Chizhou Second People's Hospital, Chizhou Anhui 247000, China |
| |
| Abstract: | Objective：To study the value of serum calcium and C reaction protein（CRP） in predicting the severity of acute pancreatitis（AP）.Methods：The serum calcium and CRP were monitored on day 1,2,3 and 4 in 52 patients with mild AP（MAP） and 21 patients with severe AP（SAP）,their diagnostic value was assessed.Results：The level of serum CRP increased significantly in AP group on the the first day of admission and reached the peak on the second day,which was more obvious in SAP group than in MAP group（P0.01）.The diagnostic sensitivity of CRP was 87.3%,specificity 91.8% and AUC 0.924.No significant difference was found between the MAP group and the normal control（P0.05）,and the levels continued to desend with time goes by.Compared with the normal control group,the level of serum calcium in SAP group decreased notablely on the the first day of admission（P0.01）.The diagnostic sensitivity of serum calcium was 82.4%,specificity 86.1% and AUC 0.876.Conclusions：Serum calcium and CRP can be used as a reliable index in evaluation of the severity of acute pancreatitis. |
| |
| Keywords: | pancreatitis calcium C reactive protein prediction of severity |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
| 点击此处可从《蚌埠医学院学报》浏览原始摘要信息 |
|
点击此处可从《蚌埠医学院学报》下载全文 |
|
