bisap评分与ranson评分对急性胰腺炎病情及预后评估的比较

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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(P

8、ithhishriskofdeathcouldbeassessedearlybythisscoringsystem．【Keywords】Bedsideindexforseverityinacutepaner