血、尿淀粉酶水平对急性胰腺炎诊断价值及影响因素

目的 探讨血、尿淀粉酶水平对急性胰腺炎诊断价值及影响因素.方法 回顾性分析200例急性胰腺炎患者的临床资料特点并对其进行分组对比研究,结果 用统计学处理.结果 200例急性胰腺炎中170例(85.0%)依靠血、尿淀粉酶水平超过正常值上限的3倍(或)以上确定诊断,30例(15.0%)需借助其他器械检查确定诊断.血、尿淀粉酶水平与40岁以上年龄组,发病时间、胆源性病因有关,但与病人的性别、入院前使用药物情况、发作次数、有否出现并发症以及疾病转归无关.结论 血、尿淀粉酶水平受较多因素影响,有一定的使用局限性,但仍然是目前临床工作中诊断急性胰腺炎最重要的实验室指标.

The value of S-Amy and U-Amy levels in diagnosing acute pancreatitis and their affected factors

Objective To investigate the value of S-Amy and U-Amy levels in diagnosing acute pancreatitis (AP) and their affected factors. Methods After 200 cases of AP to clinical manifestations were retrospectibely analyzed and were divided into two groups, they were compared and studied. Statistical methods were to used to deal with the results of those cases. Results 170(85.0%) of 200 cases of AP were diagnosed, based on the diagnostic standard, which is oner 3 times of the normal S-Amy and U-Amy levels. However, the rest of cases, 30 (15.0%), were diagnosed with the help of other medical mechanize methods. This study showed S-Amy and U-Amy levels relate to the age-over 40 class, courses and cholestatic cause, and it also showed no correlation with sex of the patient, dosage ahead of admission, time of attack, complication and prognosis. Conclusions Although S-Amy and U-Amy levels were affected by many factors, which result in the limit to the use of them, it is still the most important methods in diagnosing acute pancreatitis nowadays.