急性胰腺炎血清血清脂肪酶、淀粉酶及C反应蛋白检测及临床意义

Detection and clinical significance of serum LPS,AMY and CRP in acute pancreatitis

目的:探讨急性胰腺炎患者血清脂肪酶(LPS)、淀粉酶(AMY)及C反应蛋白(CRP)检测及临床意义。方法:2017年2月-2018年5月收治急性胰腺炎患者60例作为观察组;同时选择健康体检者60例作为对照组。检测分析两组血清LPS、AMY及CRP指标水平。结果:观察组血清LPS、AMY、CRP水平均明显高于对照组,差异有统计学意义(P<0.05)。LPS、AMY及CRP三项联合诊断灵敏度为93.33%,特异度为100%,准确率为97.50%,均显著高于单项检测。结论:对急性胰腺炎患者进行LPS、AMY及CRP联合检测准确率较高,可作为鉴别急性胰腺炎急腹症的临床依据。

Objective:To investigate the detection and clinical significance of serum lipase(LPS),amylase(AMY)and C reactive protein(CRP)in patients with acute pancreatitis.Methods:From February 2017 to May 2018,60 patients with acute pancreatitis were selected as observation group.At the same time,60 healthy people were selected as control group.Serum LPS,AMY and CRP index levels of two groups were detected and analyzed.Results:The levels of Serum LPS,AMY,CRP in the observation group were significantly higher than the control group,the differences were statistically significant(P<0.05).The sensitivity of LPS,AMY and CRP combined diagnosis was 93.33%,the specificity was 100%and the accuracy was 97.50%,all of them were significantly higher than the single detection.Conclusion:The accuracy of combined detection of LPS,AMY and CRP in patients with acute pancreatitis is high,which can be used as the clinical basis to differentiate acute abdomen of acute pancreatitis.