CAJ | 학술논문

目的验证DBC分类在急性胰腺炎严重程度判断中的准确性.方法回顾性分析2012年1月-2013年12月入院的243例急性胰腺炎患者的临床资料.依据DBC分类,分别计算轻型、中型、重型及极重型急性胰腺炎患者的全胃肠外营养时间、ICU停留时间、住院时间、手术率及病死率.结果 243例资料完整的患者中,26.7％(65/243)的患者出现胰腺或胰周组织坏死,一过性及持续器官功能障碍发病率约为10.7％ (26/243)及3.7％(9/243).根据DBC分类,分别有73.3％(178/243)、14.4％(35/243)、8.6％(21/243)及3.7％(9/243)患者属于轻型、中型、重型及极重型急性胰腺炎.与轻型及中型急性胰腺炎相比,重型及极重型急性胰腺炎患者全胃肠外营养应用率、营养时间、ICU停留时间、住院时间、手术率及住院病死率显著升高.结论 DBC分类能精确反应急性胰腺炎患者的严重程度.
목적 험증DBC분류재급성이선염엄중정도판단중적준학성.방법 회고성분석2012년1월-2013년12월입원적243례급성이선염환자적림상자료.의거DBC분류,분별계산경형、중형、중형급겁중형급성이선염환자적전위장외영양시간、ICU정류시간、주원시간、수술솔급병사솔.결과 243례자료완정적환자중,26.7％(65/243)적환자출현이선혹이주조직배사,일과성급지속기관공능장애발병솔약위10.7％ (26/243)급3.7％(9/243).근거DBC분류,분별유73.3％(178/243)、14.4％(35/243)、8.6％(21/243)급3.7％(9/243)환자속우경형、중형、중형급겁중형급성이선염.여경형급중형급성이선염상비,중형급겁중형급성이선염환자전위장외영양응용솔、영양시간、ICU정류시간、주원시간、수술솔급주원병사솔현저승고.결론 DBC분류능정학반응급성이선염환자적엄중정도.
Objective To validate the accuracy of the determinant-based classification (DBC) for the severity of acute pancreatitis (AP).Methods Retrospective analysis the clinical data of 243 patients with acute pancreatitis who admitted to our hospital between January 2012 and December 2013.Length of total parenteral nutrition,length of ICU and hospital stay,operation rate and mortality was assessed,respectively in subgroup of mild,moderate,severe and critical acute pancreatitis according to DBC.Results Pancreatic or peripancreatic necrosis was present in 65 of the patients (26.7％).Transient and persistent organ failures were present in 26 patients (10.7％) and 9 patients (3.7％),respectively.On the basis of the DBC,178 (73.3％),35 (14.4％),21 (8.6％),and 9 (3.7％) patients were determined to have mild,moderate,severe,or critical AP,respectively.The different categories of severity for DBC system were associated with statistically significant and clinically relevant differences in length of total parenteral nutrition,length of ICU and hospital stay,operation rate and mortality.Conclusions The DBC accurately classify the severity of AP in subgroups of patients.