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目的探讨急、慢性胰腺炎及轻、重症胰腺炎的鉴别指标。方法收集237例胰腺炎患者,记录其AMYL、TG、Ca~(2+)、CA199、WBC、N、Hb、RDW、PLT、PDW、CRP及PCT结果。将入选者分为急、慢性胰腺炎及轻、重症胰腺炎后进行组间比较,探讨2组的鉴别指标。结果急性、慢性胰腺炎组间的性别比例、血清AMYL、胰AMYL、Ca~(2+)、WBC、N、Hb及CRP结果差异均有统计学意义(P<0.05);进一步二分类Logistic回归,得出Ca~(2+)、N及Hb差异有统计学意义(P<0.05),急性胰腺炎血Ca~(2+)浓度较低,而N及Hb较高。轻症、重症胰腺炎组间的血AMYL、胰AMYL、TG、Ca~(2+)、WBC、N、RDW及PDW结果差异均有统计学意义(P<0.05);进一步二分类Logistic回归,得出2组间Ca~(2+)、N及TG差异有统计学意义(P<0.05),重症胰腺炎血Ca~(2+)浓度较低,而N及TG较高。结论 Ca~(2+)、N及Hb可鉴别急慢性胰腺炎,血Ca~(2+)浓度、N及TG可鉴别轻重症胰腺炎。
Objective To investigate the differential markers of acute and chronic pancreatitis and mild and severe pancreatitis. Methods A total of 237 patients with pancreatitis were collected and their AMYL, TG, Ca ~ (2 +), CA199, WBC, N, Hb, RDW, PLT, PDW, CRP and PCT were recorded. The participants were divided into acute and chronic pancreatitis and mild and severe pancreatitis after the comparison between groups to explore the two groups of indicators. Results There were significant differences in sex ratio, serum AMYL, AMYL, Ca ~ (2 +), WBC, N, Hb and CRP between acute and chronic pancreatitis groups (P <0.05) The difference of Ca ~ (2 +), N and Hb was statistically significant (P <0.05). Acute pancreatitis had lower concentration of Ca ~ (2+) and higher N and Hb. The levels of AMYL, AMYL, TG, Ca ~ (2 +), WBC, N, RDW and PDW in the group of mild and severe acute pancreatitis were significantly different (P <0.05). For further dichotomous Logistic regression, The difference of Ca ~ (2 +), N and TG between the two groups was statistically significant (P <0.05). Serum Ca ~ (2+) concentration in severe pancreatitis was lower and N and TG were higher. Conclusion Ca ~ (2 +), N and Hb can distinguish acute and chronic pancreatitis, blood Ca ~ (2+) concentration, N and TG can distinguish severe and severe pancreatitis.