急性胰腺炎评分系统预测病情严重程度的研究进展

Research progress in acute pancreatitis scoring systems in predicting the severity of disease

急性胰腺炎(AP)是在外科临床工作中常见的疾病。其中大多数轻症急性胰腺炎的患者经保守治疗后即可明显缓解,但仍有少数患者可能进展至重症急性胰腺炎(SAP),病死率较高,预后结局差。因此及早评估AP病情对于患者的治疗、预后至关重要。目前临床上常用的预测胰腺炎病情严重程度的评分系统有Ranson评分、APACHE Ⅱ评分、BISAP评分等评分系统。本文对AP现有的评分系统及其相关的改良评分系统近年来的研究进展进行概述。

Acute pancreatitis(AP)is a common disease in clinical practice.A majority of patients with mild AP can be significantly mitigated after conservative treatment,whereas a few patients may progress into severe acute pancreatitis(SAP),which yields high mortality and poor prognosis.Therefore,timely evaluation of the condition of AP is of significance for the treatment and prognosis of patients.At present,Ranson scoring system,APACHEⅡscoring system and BISAP scoring system are commonly employed to predict the severity of pancreatitis in clinical settings.In this article,research progresses in the existing scoring systems for AP and relevant modified scoring systems were reviewed.