急性胰腺炎评分标准的评价

目的：比较Ranson评分、急性生理功能和慢性健康状况评分系统Ⅱ（APACHEⅡ评分）以及CT严重指数3种评分系统评估急性胰腺炎严重程度、预测并发症的可靠性及其与住院时间的相关性。方法：回顾分析2004年9月—2009年12月收治的168例急性胰腺炎患者的临床资料。记录Ranson评分、APACHEⅡ评分以及CT严重指数。分析3种评分系统诊断急性重症胰腺炎（SAP）的灵敏度、特异度。应用受试者操作特征曲线（ROC曲线）下面积检验其对并发症及重症倾向的预测价值。3种各项评分系统与住院时间的相关性。结果：Ranson评分诊断SAP的可靠性最高。APACHEⅡ指标预测并发症的可靠性最高。CT评分系统及APACHEⅡ（〈8）与住院时间有良好的相关性。结论：3种评估系统各有优点,在评估急性胰腺炎时需综合考量。

Value of Different Scoring Systems in Acute Pancreatitis

Objective：To evaluate the prognostic ability of three different scoring systems,and the relations between complications,the days in hospital and scoring systems.Methods： A total of 168 patients with acute severe pancreatitis,who were admitted in Jinshan Hospital from September 2004 to December 2009,were studies retrospectively.Data periment to three scoring systems were recorded（APACHEⅡ,Ranson scores and Balthazar computed tomograghy severity index）.The sensitivity and specifity of deferent scoring systems were compared.Statistical analysis was perfomed by using receiver operating characteristic curves for evaluate the reliability of forecasting the seriousity and complications.The relationship between deferent scoring systems and the days in hospital were studied.Results： Ranson score was supier in prediction the severity of acute pancreatitis.;APACHEⅡscore was supier in prediction the complications;CT score and APACHEⅡscore（8）was supier in prediction the days in hospital.Conclusions： The prognostic ability of deffetent scoring systems was not same.They all should be combined to predict the severity of acute pancreatitis.