中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
14期
5-7
,共3页
赵春菱%张剑锋%李浩%李其斌%张伟%庞杰龙
趙春蔆%張劍鋒%李浩%李其斌%張偉%龐傑龍
조춘릉%장검봉%리호%리기빈%장위%방걸룡
重症急性胰腺炎%全身炎性反应综合征%评分%预后
重癥急性胰腺炎%全身炎性反應綜閤徵%評分%預後
중증급성이선염%전신염성반응종합정%평분%예후
Severe acute pancreatitis%Systemic inflammatory reaction syndrome%Score%Prognosis
目的 探讨全身炎症反应综合征(SIRS)评分系统评估重症急性胰腺炎(SAP)预后的临床应用价值.方法 回顾性分析广西医科大学第一附属医院2006年1月至2011年12月收治的122例SAP患者的临床资料,根据预后分为SAP存活组87例和SAP死亡组35例,比较两组SIRS评分指标[体温、心率、呼吸频率、外周血白细胞计数(WBC)]和SIRS发生率,并进行SIRS评分与APACHEⅡ评分的相关性分析.结果 SAP死亡组4项SIRS评分指标(体温、心率、呼吸频率、WBC)与SAP存活组比较差异有统计学意义(P＜0.05或＜0.01).SAP死亡组SIRS发生率高于SAP存活组.相关性分析显示,SIRS评分与APACHEⅡ评分有一定相关性(r =0.341,P=0.016).结论 SIRS评分可用于评估SAP患者的预后,且SIRS评分与APACHEⅡ评分相关,具有一定临床应用价值.
目的 探討全身炎癥反應綜閤徵(SIRS)評分繫統評估重癥急性胰腺炎(SAP)預後的臨床應用價值.方法 迴顧性分析廣西醫科大學第一附屬醫院2006年1月至2011年12月收治的122例SAP患者的臨床資料,根據預後分為SAP存活組87例和SAP死亡組35例,比較兩組SIRS評分指標[體溫、心率、呼吸頻率、外週血白細胞計數(WBC)]和SIRS髮生率,併進行SIRS評分與APACHEⅡ評分的相關性分析.結果 SAP死亡組4項SIRS評分指標(體溫、心率、呼吸頻率、WBC)與SAP存活組比較差異有統計學意義(P＜0.05或＜0.01).SAP死亡組SIRS髮生率高于SAP存活組.相關性分析顯示,SIRS評分與APACHEⅡ評分有一定相關性(r =0.341,P=0.016).結論 SIRS評分可用于評估SAP患者的預後,且SIRS評分與APACHEⅡ評分相關,具有一定臨床應用價值.
목적 탐토전신염증반응종합정(SIRS)평분계통평고중증급성이선염(SAP)예후적림상응용개치.방법 회고성분석엄서의과대학제일부속의원2006년1월지2011년12월수치적122례SAP환자적림상자료,근거예후분위SAP존활조87례화SAP사망조35례,비교량조SIRS평분지표[체온、심솔、호흡빈솔、외주혈백세포계수(WBC)]화SIRS발생솔,병진행SIRS평분여APACHEⅡ평분적상관성분석.결과 SAP사망조4항SIRS평분지표(체온、심솔、호흡빈솔、WBC)여SAP존활조비교차이유통계학의의(P＜0.05혹＜0.01).SAP사망조SIRS발생솔고우SAP존활조.상관성분석현시,SIRS평분여APACHEⅡ평분유일정상관성(r =0.341,P=0.016).결론 SIRS평분가용우평고SAP환자적예후,차SIRS평분여APACHEⅡ평분상관,구유일정림상응용개치.
Objective To investigate the clinical value of systemic inflammatory reaction syndrome (SIRS) score in evaluating the prognosis of patients with severe acute pancreatitis (SAP).Methods The clinical data of 122 patients with SAP admitted in our hospital from January 2006 to December 2011 were respectively analyzed.Patients were divided into two groups:survival group with 87 cases and fatality group with 35 cases.SIRS parameters including body temperature,heart rate,respiratory rate and white blood cell counts were compared between the two groups,and the correlation of SIRS with APACHE Ⅱ score were analyzed.Results There were significant differences between survival group and fatality group in the four SIRS paraments(P ＜0.05 or P ＜0.01),and the incidence of SIRS was significantly higher in survival group than that in fatality group.The correlative analysis indicated that there was a close correlation of the SIRS with APACHE Ⅱ score (r =0.341,P =0.016).Conclusions SIRS score can be used to assess the prognosis of patients with SAP.SIRS score is closely correlated with the APACHE Ⅱ score,and with certain clinical value.
