血清生化指标在急性胆源性胰腺炎诊断中的价值

The value of serum biochemical markers in diagnasis of acute biliary pancreatitis

目的探讨血清生化指标在急性胆源性胰腺炎(ABP)患者早期诊断中的意义。方法回顾性分析174例急性胰腺炎患者的病例临床资料,将患者的性别、年龄、血清谷丙转氨酶(ALT)、谷草转氨酶(AST)、碱性磷酸酶(ALP)、血淀粉酶(AMY)、总胆红素(TBIL)及直接胆红素(DBIL)作为研究变量,将数据输入SPSS 13.0软件包,绘制ROC曲线,并进行χ2检验。结果患者AST≥53.6 U/L,ALT≥46.0 U/L,ALP≥96.2 U/L,TBIL≥1.4 mg/dL,DBIL≥1.0 mg/dL时,被诊断为ABP,差异有统计学意义。结论血清生化指标有助于ABP的诊断。

Objective To research the clinical value of serum biochemical markers in diagnosis of acute biliary pancreatitis （ ABP）. Methods 174 eases clinical data of patients with acute pancreatitis were analyzed. The sexuality, age and serum biochemical markers such as ALT,AST,ALP,AMY,TBIL and DBIL value were inputted into SPSS 13.0 as variance and ROC curves and X2 test were operated. Results Apatient＇s serum level achieved AST≥53.6 U/L, ALTo≥46. 0 U/L, ALP≥96. 2 U/L, TBIL≥1.4 mg/dL, DBIL≥1. 0 mg/dL, were diagnosed as ABP. Conclusions The serum biochemical markers such as AST,ALT,ALP,TBIL and DBIL were helpful to diagnosis of ABP.