APACHEⅡ,Ranson与BalthazarCT评分在重症急性胰腺炎患者预后评估中的应用价值

Value of Combination APACHE Ⅱ,Ranson with BalthazarCT Scoring System Predicting Prognosis of Severe Acute Pancreatitis

目的探讨APACHEⅡ、Ranson、Balthazar CT三种评分系统在重症急性胰腺炎(severe acute pancreatitis,SAP)患者预后评估中的价值。方法以2007年1月至2008年12月入住四川大学华西医院加强医疗科(ICU)资料完整的134例SAP患者为研究对象,回顾性分析APACHEⅡ评分、Ranson评分及Balthazar CT分级与SAP病死率的关系。结果APACHEⅡ、Ranson、Balthazar CT三种评分系统中高分组与低分组在病死率方面差异有统计学意义。APACHEⅡ、Ranson与Balthazar CT综合分型:APACHEⅡ、Ranson高分组中CT分级病死率差异有统计学意义。结论APACHEⅡ、Ranson及Balthazar CT评分系统综合分型结果对SAP患者预后评估具有重要参考价值,三种评分系统联合使用对诊治及预后评估更具有临床指导意义。

Objective To explore the value of combination APACHE Ⅱ,Ranson with BalthazarCT Scoring System predicting the prognosis of severe acute pancreatitis（SAP）.Methods The relationship between APACHE Ⅱ,Ranson,Balthazar CT scoring systems and mortality of severe acute pancreatitis（SAP）patients admitted to the intensive care unit（ICU）of West China Hospital from January 1st,2007 to December 31st,2008 was analyzed.Results There was statistical difference between high and low score groups in the APACHE Ⅱ,Ranson,BalthazarCT scoring systems. Combination APACHE Ⅱ, Ranson with Balthazar CT scoring system, there was statistical difference between high and low Balthazar CT score group both in APACHE Ⅱ and Ranson scoring systems. Conclusion APACHE Ⅱ, Ranson combined with Balthazar scoring systems can be used as a more important clinical reference in evaluating the diagnosis and prognosis of severe acute pancreatitis.