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时间:2017-12-07
《bisap评分与ranson评分对急性胰腺炎病情及预后评估的比较》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中国实用医药2013年12月第8卷第34期ChinaPracMed.Dec2013.Vo1.8.No.34·论著·BISAP评分与Ranson评分对急性胰腺炎病情及预后评估的比较韩琳赖亚栋曾群章【摘要】目的比较BISAP评分与Ranson评分在预测急性胰腺炎(acutepancreatitis,AP)的严重程度、死亡结局方面的应用价值。方法运用BISAP(bedsideindexforseverityinAP)评分与Ranson评分对124例AP患者进行回顾性评分,比较轻症组与重症组、死亡组与存活组的评分差异,比较高分组与低分组之间重症
2、急性胰腺炎(SAP)发生率、病死率的差异。结果重症组与轻症组、死亡组与存活组的BISAP及Ransen评分差异均有统计学意义(P<0.01)。对于Ranson高分组(≥3分)和低分组(<3分)患者SAP发生率间差异有统计学意义(P<0.01),两组病死率差异无统计学意义(P>0.05)。对于BISAP高分组(≥3分)与低分组(<3分)的SAP及病死率间差异均有统计学意义(P<0.01)。结论BISAP评分与Ranson评分对于判断AP严重程度均具有重要参考意义。BISAP简便易行,能够早期对AP患者进行死亡风险评估。【关键词】BISAP
3、评分;Ranson评分;急性胰腺炎;预后BISAP8corevsRall$oncriteriainpredictingtheseverityandprognosisofpatientswinlacutepancreati-tlsHANLin,LAIYa—dong,ZENGQun-zhang.DepartmentofDigestion,AfiliatedZhangzhouHospitalofFujianMedicalUniversity,Zhangzhou363000,China.【Abstract】ObjectiveToevaluate
4、theclinicalvaluesofthebedsideindexforseverityinacutepan-ereatitis(BISAP)andRansencriteriainpredictingseverityandmortalityinpatientswithacutepancreatitis(AP).MethodsOnehundredandtwenty-fourpatientswithAPwereretrospectivelystudiedwiththesetwocri-teriasystems.Diferencesofsc
5、oresbetweenthemildgroupandtheseveregroup,thedeathgroupandsurvivalgroupwerecompared.Atthesametime,diferencesinsevereacutepanereatitis(SAP)ratesandmortalitybe-tweenthehi【shSCOregroupandthelowSCOregroupwerealsocompared.ResultsThemeanSCOreSofBISAPandRansonweresignificantlydi
6、ferentbetweensevereandmildpanereatitisandbetweenthedeathgroupandsurvivalgroup(P<0.O1).FortheRansonscoringsystem,diferencesintheincidenceofSAPwerestatisticallysignificantbetweenthehishscoregroup(≥3points)andthelowscoregroup(<3points)(P<0.01),whilenosignificantdiferencesin
7、mortalitywereobserved.FortheBISAPscoringsystem,diferencesinthein—cidenceofSAPandmortalitywerestatisticallysignifcant(P8、ithhishriskofdeathcouldbeassessedearlybythisscoringsystem.【Keywords】Bedsideindexforseverityinacutepaner
8、ithhishriskofdeathcouldbeassessedearlybythisscoringsystem.【Keywords】Bedsideindexforseverityinacutepaner
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