血清脂肪酶、淀粉酶及C反应蛋白联合检测在急性胰腺炎早期诊断中的临床价值

The clinical value of the combined detection of serum lipase, amylase and C-reactive protein in the early diagnosis of acute pancreatitis

目的:研究血清脂肪酶、淀粉酶及C反应蛋白联合检测在急性胰腺炎早期诊断的临床效果。方法:选择本院急性胰腺炎患者104例,另外选取50例急腹症非急性胰腺炎患者视作对照1组,选取50例健康体检者视作对照2组,3组均接受血清脂肪酶、淀粉酶及C反应蛋白联合检测,分析结果。结果:观察组血清淀粉酶、脂肪酶、C反应蛋白检测结果明显高于对照1,2组,重型急性胰腺炎患者淀粉酶、脂肪酶水平明显高于轻型患者,差异均有统计学意义(P<0.05)。结论:急性胰腺炎早期诊断中联合检测血清脂肪酶、淀粉酶及C反应蛋白指标能够提升诊断准确率。

Objective:To study the clinical effects of the combined detection of serum lipase, amylase and C-reactive protein in the early diagnosis of acute pancreatitis. Methods:104 patients with acute pancreatitis in our hospital were selected as the observation group, 50 patients with acute abdomen non-acute pancreatitis were selected as control group 1 and another 50 healthy subjects were selected as control group 2. All the subjects in the three groups were tested by serum lipase, amylase and C-reactive protein, and the results were analyzed. Results:The test results of serum amylase, lipase and C-reactive protein in the observation group were significantly higher than those in control group 1 and 2, and the levels of amylase and lipase in patients with severe acute pancreatitis were significantly higher than those mild acute pancreatitis patients,which were of statistical differences(P<0.05). Conclusion:The combined detection of serum lipase, amylase and C-reactive protein markers can improve the diagnostic accuracy in the early diagnosis of acute pancreatitis.