CAJ | 학술논문

目的：探讨终末期肝病模型（MELD）对于肝硬化腹水合并自发性腹膜炎（SBP）的临床预测价值。方法收集肝硬化腹水患者127例，根据是否合并SBP分为SBP组（33例）和非SBP组（94例），比较两组的MELD评分；并根据MELD评分分为A组（≤9分）、B组（10~19分）、C组（20~29组）和D组（≥30分），比较5组SBP发生率。结果 SBP组的MELD得分显著高于非SBP组（P<0.05）；MELD得分与SBP发生率呈显著正相关性（P<0.05）。结论 MELD评分对于肝硬化腹水发生SBP具有重要的临床预测价值，MELD得分与SBP发生率呈正相关性。
목적：탐토종말기간병모형（MELD）대우간경화복수합병자발성복막염（SBP）적림상예측개치。방법수집간경화복수환자127례，근거시부합병SBP분위SBP조（33례）화비SBP조（94례），비교량조적MELD평분；병근거MELD평분분위A조（≤9분）、B조（10~19분）、C조（20~29조）화D조（≥30분），비교5조SBP발생솔。결과 SBP조적MELD득분현저고우비SBP조（P<0.05）；MELD득분여SBP발생솔정현저정상관성（P<0.05）。결론 MELD평분대우간경화복수발생SBP구유중요적림상예측개치，MELD득분여SBP발생솔정정상관성。
Objective To investigate the clinical predictive value of model for end-stage liver disease (MELD) for liver cirrhosis complicated with spontaneous bacterial peritonitis (SBP). Methods 127 cases of patients with liver cirrhosis were divided into SBP group(33 cases) and non-SBP group (94 cases) according to whether the patients complicated by SBP. The MELD scores of the two groups were compared; and the patients were divided into group A (≤9 points), group B (10-19 points), group C (20-29 points) and group D (≥30 points) in accordance with the MELD score, and the incidences of SBP of five groups were compared. Results The MELD score of SBP group was significantly higher than that of non-SBP group (P<0.05); MELD score and the incidence of SBP was significantly positively correlated (P<0.05). Conclusion MELD score has important clinical predictive value for liver cir-rhosis complicated by SBP, and it is positively correlated with the incidence of SBP.