摘要
目的探讨全身炎症反应综合征(SIRS)评分与急性生理和慢性健康状况(APACHEⅡ)评分对预测急性胰腺炎患者预后的价值。方法回顾分析202例急性胰腺炎患者的临床资料,记录患者的一般情况、预后。根据预后将患者分为死亡组16例和存活组186例,对两组患者的SIRS和APACHEⅡ评分进行比较。结果死亡组SIRS评分、APACHEⅡ评分均高于存活组(P<0.05)。随着SIRS与APACHEⅡ分值的增加,病死率也增加。SIRS评分≥2分或APACHEⅡ评分≥20分时病死率明显增加(P<0.05)。两种评分方法具有一致性,均可用于急诊急性胰腺炎患者的预后评估(Kappa值=0.33,P=0.001)。结论 SIRS和APACHEⅡ两个评分系统均可用于评估急性胰腺炎患者的预后。
Objective To investigate the efectiveness of systemic inflammatory response syndrome （SIRS）and APACHEII in the prognostic evaluation of patients with acute pancreatitis of emergency. Methods A total of 202 patients with acute pancreatitis of emergency were enrolled in our study. General condition, the prognosis as well as SIRS and APACHEⅡ scores within 24 hours after admission were evaluated and recorded. All the patients were divided into survival group and death group according to the prognosis. The value of SIRS and APACHEⅡ scores were compared statistically between the two groups. Results There was a significant diference in SIRS and APACHE Ⅱ scores between the two groups（P 〈0.05） ,and the two systems were consistent with each other in the evaluation（P 〈0.05）. Conclusion SIRS and APACHE Ⅱ systems are both valuable in the prognostic evaluation of patients with acute pancreatitis of emergency.
出处
《广西医学》
CAS
2011年第1期32-34,共3页
Guangxi Medical Journal
关键词
胰腺炎
SIRS评分
APACHE
Ⅱ评分
预后
临床价值
Systemic inflanmmtory response syndrome scores
APACHEⅡ scores
Emergency
Acute pancreafitis
Prognosis
Clinical value
