急性胰腺炎评分系统的应用及研究进展

Application and research progress of scoring systems of acute pancreatitis

急性胰腺炎(acute pancreatitis,AP)是常见消化系统急重症之一。20%~30%会发展为急性重症胰腺炎(severe acute pancreatitis,SAP),其病情凶险、并发症多、预后差。早期进行评估及合理治疗,能大大降低并发症及病死率,节约医疗资源,减少住院费用,对AP患者诊治及预后有重要意义。目前国内外常用的Ranson、APACHEⅡ、CTSI评分系统,及近年有学者提出的PANC-3、JSS、HAPS、POP等评分系统,各有利弊。本文对现有的AP评分系统及近年来的研究进展作一概述。

Acute pancreatitis （AP） is one of the acute diseases in digestive system. About 20% - 30% of all AP cases will transform into severe acute pancreatitis （SAP） with its dangerous condition, more complications and poor prognosis. Early assessment and providing reasonable treatment, can greatly reduce the complications and mortality, save the medical resources, reduce the cost of hospitalization and may have a great significance to the diagnosis, treatment and prognosis of AP patients. At present, the commonly used at home and abroad Ranson, APACHE Ⅱ , CTSI scoring systems, as well as PANC-3, JSS, HAPS, POP and other scoring systems in recent years, each has its pros and cons. This article will introduce the existing AP scoring systems and discuss recent research progress in review.