CAJ | 학술논문

目的探讨早期预警评分(EWS)及其动态变化在急性胰腺炎病情判断中的作用.方法对76例急性胰腺炎患者分为轻症和重症2组,入院后第1、2天记录患者的EWS评分及动态变化(△EWS)和急性生理与慢性健康评分(APACHEⅡ评分),通过ROC曲线及截断值进行比较分析.结果2组患者EWS评分及动态变化(△EWS)、Ranson评分和APACHEⅡ评分均有显著差异(P<0.01),EWS评分及动态变化(△EWS)与Ranson评分、急性生理与慢性健康评分(APACHEⅡ评分)预测重症胰腺炎的ROC曲线下面积分别为0.796、0.765、0.786、0.713比较差异无统计学意义.结论 EWS评分及动态变化(△EWS)可以用来判断急性胰腺炎患者病情的轻重.EWS评分简便易行,适合早期筛选危重急性胰腺炎.
목적탐토조기예경평분(EWS)급기동태변화재급성이선염병정판단중적작용.방법대76례급성이선염환자분위경증화중증2조,입원후제1、2천기록환자적EWS평분급동태변화(△EWS)화급성생리여만성건강평분(APACHEⅡ평분),통과ROC곡선급절단치진행비교분석.결과2조환자EWS평분급동태변화(△EWS)、Ranson평분화APACHEⅡ평분균유현저차이(P<0.01),EWS평분급동태변화(△EWS)여Ranson평분、급성생리여만성건강평분(APACHEⅡ평분)예측중증이선염적ROC곡선하면적분별위0.796、0.765、0.786、0.713비교차이무통계학의의.결론 EWS평분급동태변화(△EWS)가이용래판단급성이선염환자병정적경중.EWS평분간편역행,괄합조기사선위중급성이선염.
Objective To evaluate the early warning score(EWS) and its dynamic change in the assessment of the severity in acute pancreatitis.Methods 76 patients with acute pancreatitis were divided into mild and severe groups.The first and second day after admission,EWS scores and dynamic changes(△EWS),Ranson score and acute physiology and chronic health score(APACHEⅡ score)were recorded,and the cutoff value by ROC curve were compared. Results The patients EWS score and dynamic changes (△EWS),Ranson score and APACHE II scores were significantly different(P<0.01).The area under the ROC curves predicting acute pancreatitis were0.796、0.765、0.786 and 0.713.There were no significant differences (P>0.05).Conclusion EWS score and its dynamic change(△EWS) can be used to assess the severity of acute pancreatitis. EWS score is simple,early screening for severe acute pancreatitis.