摘要
目的:分析急性胰腺炎(AP)患者血清C-反应蛋白(CRP)水平的与其病情CT分级和肝脏密度的相关性。方法:收集2015年6月至2016年6月期间某院收治的142例AP患者的临床资料进行回顾性研究。这些患者在入院后均进行CT检查和血清CRP检测。分析AP患者血清CRP水平与其病情CT分级和肝脏密度的相关性。结果:检测的结果显示,在这142例AP患者中,有MAP患者92例,MSAP患者27例,SAP患者23例。其中,MAP患者血清CRP的水平最低,SAP患者血清CRP的水平最高,差异具有统计学意义(P<0.05)。随着CT分级的升高,AP患者血清CRP的水平逐渐升高,差异具有统计学意义(P<0.05)。MAP患者病情的CT分级主要集中在B级、C级、D级,共有82例患者,所占的比例为89.1%。MSAP患者病情的CT分级主要集中在C级、D级,共有23例患者,所占的比例为85.2%。SAP患者病情的CT分级主要集中在D级、E级,共有20例患者,所占的比例为87.0%。SAP患者肝脏密度降低的发生率最高,MAP患者肝脏密度降低的发生率最低,差异具有统计学意义(P<0.05)。结论:急性胰腺炎患者血清CRP的水平与其病情的CT分级呈正相关性,与肝脏的密度呈负相关性。临床上可用这三项指标评估AP患者的病情及预后。
Objective To analyses Correlation of CPR level of acute pancreatitis patients with CT grades and liver density.Methods Retrospectively study material of142 cases of acute pancreatitis from Xinyi People＇s Hospital from June 2015 to June.All patients received CT scan and CRP level test.To analyses Correlation of CPR level of acute pancreatitis patients with CT grades and liver density.Results The 142 patients were divided into three groups,which contained 92 patients with mild acute pancreatitis（MAP）,27 patients with moderate to severe acute pancreatitis（MSAP）,and 23 patients with severe acute pancreatitis（SAP）.To analyses Correlation of CPR level of acute pancreatitis patients with CT grades and liver density.The CRP level for MAP group was lowest and CPR level of SAP was highest（P 0.05）.Accompanied with of increase of CT grades,CPR level of AP group was increase.MAP group mainly focused on grade B,C and D（82 cases,89.1%）,MSAP groups focused on Grade C and D（23 cases,85.2%）,and SAP groups focused on Grade D and E（20 cases 87.0%）（P 0.05）.The incidence of decrease of liver density was highest in SAP group,was lowest in MAP group（P 0.05）.Conclusion It has positive correlation about CPR level of acute pancreatitis patients and CT grade and negative correlation liver density.We can apply CPR,CT grade and liver density base on evaluate state and prognosis.
