C反应蛋白血糖三酰甘油血清淀粉酶对急性胰腺炎的临床诊断价值

目的：研究C反应蛋白（CRP）、血糖（GLU）、三酰甘油（TG）、血清淀粉酶（AMS）对急性胰腺炎的诊断价值。方法将重症急性胰腺炎患者纳入SAP组，轻症急性胰腺炎患者纳入MAP组，体检健康者纳入健康对照组，发病后第1、3、5天时检测CRP、GLU、TG、AMS水平并观察症状持续时间。结果发病后第1、3、5天时，CRP、GLU、TG、AMS水平从高到低依次为SAP组、MAP组、健康对照组；SAP组患者腹痛、恶心、呕吐、发热持续时间均高于MAP组，且CRP、GLU、TG水平与腹痛、呕吐、高热的持续时间呈正相关关系，AMS相关性明显低于CRP、GLU、TG。结论CRP、GLU、TG的水平与急性胰腺炎的严重程度及症状持续时间密切相关，其水平越高、症状持续时间越长，可作为诊断疾病和判断病情的有效指标。

Clinical value of CRP,GLU,TG and AMS in the diagnosis of acute pancreatitis

Objective To study the clinical value of C reactive protein（CRP） ,blood glucose（GLU） ,triglycer-ide（TG） ,amylase（AMS） in the diagnosis of acute pancreatitis（AP） .Methods Patients with severe AP（SAP） were enrolled as SAP group ,patients with mild AP（MAP） were enrolled as MAP group and healthy subjects were enrolled as control group .Levels of CRP ,GLU ,TG and AMS were detected in the 1st ,3rd and 5th day after onset and dura-tion of symptoms were observed .Results In the 1st ,3rd and 5th day after onset ,levels of CRP ,GLU ,TG and AMS , raged from high to low ,were of SAP group ,MAP group and control group .Duration of abdominal pain ,nausea ,vomi-ting and fever of SAP group were longer than MAP group .Levels of CRP ,GLU and TG were positively related with duration of abdominal pain ,nausea ,vomiting and fever ,and the correlation between AMS level and clinical symptoms were weaker than CRP ,GLU and TG .Conclusion Levels of CRP ,GLU and TG could be closely positively related to the severity and symptoms duration of AP ,which might be effective indicator for the diagnosis and judgment of dis-ease of AP .