APACHEⅡ,CTIS评分系统对重症急性胰腺炎诊治及预后评估的应用价值

Evaluation of APACHEⅡ and Balthazar Scoring System on Diagnosis,Therapy and Prognosis of Severe Acute Pancreatitis

【目的】分析APACHEⅡ、Balthazar评分在预测重症急性胰腺炎(SAP)的病情严重度及预后参考的应用价值。【方法】应用APACHEⅡ、Balthazar评分系统对57例SAP患者的评分进行回顾性分析。【结果】APACHEⅡ评分在器官功能障碍组评分明显高于无器官功能障碍组(P<0.01),高分组器官功能障碍发生率高于低分组(P<0.01),SAP严重度指数(CTIS)评分与临床治疗、预后密切相关,得分高者器官功能障碍、手术机会均显著上升(P<0.01)。【结论】APACHEⅡ、CTIS评分系统对判断病情及治疗具有重要参考意义,两种评分系统联合使用,对SAP的诊治及预后评估有指导意义。

[Objective]To investigate the applied value of APACHE Ⅱ , Balthazar scoring system for predicting the severity and prognosis, and guiding clinical therapy in severe acute pancreatitis （SAP）. [Methods] The scores of All 57 cases of SAP evaluated by APACHE Ⅱ and Balthazar scoring system were retrospectively analyzed. [Results] APACHE Ⅱ scores in organ dysfunction group were significantly higher than those in the group without organ dysfunction（ P 〈0.01）. The incidence of organ failure in higher score group was higher than that in lower score group （ P 〈0.01）. The CTIS scores of Balthazar scoring system were closely related to the clinical therapy and prognosis. The incidence of organ failure and chances of operation in the higher score group were significantly higher and more than those in the lower score group （ P 〈0.01）. [Conclusion] APACHE and Balthazar scoring system could be used as an important reference in evaluating the diagnosis, treatment and prognosis of SAP, especially be applied together.