APACHEⅡ、Ranson和BalthazarCT评分系统对急性胰腺炎严重程度评估的比较

Prediction of severity in acute pancreatitis:a comparative study of APACHEⅡ,Ranson and Balthazar computed tomography scoring systems

目的探讨急性胰腺炎时,Ranson、APACHEⅡ和Balthazar CT分级对病情评估有无差异。方法回顾性分析2007年1月~2010年10月内蒙古医学院第三附属医院收治的112名资料完整的急性胰腺炎患者。记录资料包括入院24 h的APACHEⅡ评分、48 h的Ranson评分和72 h的CT评估。用χ2检验方法分析3者之间的差异性。结果 Ranson、APACHEⅡ和Balthazar对急性胰腺炎的严重程度评估相互之间存在差异性。结论把3种临床评分系统结合起来,对急性胰腺炎进行评估才能够较为准确地把握其病情严重程度,及时有效地指导治疗。

【Objective】To explore the value of combination APACHEⅡ,Ranson with Balthazar CT scoring system predicting severity of acute pancreatitis.【Methods】 112 patients with acute pancreatitis,who were admitted into the Third Affiliated Hospital of Inner Mongolia Medical College from January 2007 to October 2010,were studied retrospectively.Data pertinent to scoring systems were recorded 24 Hours（APACHEⅡscore）,48 hours（Ranson score） and 72 hours（Balthazar computed tomography severity index） after admission.Statistical analysis was performed by using χ2 test methods.【Results】 There was statistical difference between mild and severe groups in the APACHEⅡ,Ranson,Balthazar CT scoring systems.【Conclusion】 APACHEⅡ,Ranson combined with Balthazar scoring systems can be used as a more important clinical reference in evaluating the diagnosis and prognosis of acute pancreatitis.