CT评分系统联合MPV、RDW对急性胰腺炎患者预后的预测价值

Predictive value of CT scoring system combined with MPV and RDW for the prognosis of patients with acute pancreatitis

目的分析CT评分系统联合平均血小板体积(MPV)、红细胞分布宽度(RDW)对急性胰腺炎患者预后的预测价值。方法选取2019年6月至2022年6月收治的106例急性胰腺炎患者进行回顾性分析,根据预后情况将其分为死亡组(16例)和存活组(90例)。比较两组的一般资料及实验室指标;分析CT评分系统联合MPV、RDW对急性胰腺炎患者预后的预测效能。结果死亡组的急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)、改良CT严重指数(MCTSI)评分及MPV、RDW高于存活组(P<0.05)。Logistic回归分析显示,APACHEⅡ、MCTSI评分、MPV、RDW是急性胰腺炎患者预后不良的危险因素(P<0.05)。CT评分系统、MPV、RDW联合预测急性胰腺炎患者预后的准确度、灵敏度、特异度明显高于CT评分系统及MPV、RDW(P<0.05)。结论CT评分系统联合MPV、RDW对急性胰腺炎患者预后的预测价值较高。

Objective To analyze the predictive value of CT scoring system combined with mean platelet volume(MPV)and red blood cell distribution width(RDW)in the prognosis of patients with acute pancreatitis.Methods One hundred and six patients with acute pancreatitis admitted in our hospital from June 2019 to June 2022 were selected for retrospective analysis.According to the prognosis,the patients were divided into death group(16 cases)and survival group(90 cases).The general data and laboratory indexes of the two groups were compared;the predictive efficacy of CT scoring system combined with MPV and RDW on the prognosis of patients with acute pancreatitis was analyzed.Results The Acute Physiology and Chronic Health EvaluationⅡ(APACHEⅡ),Modified CT Severity Index(MCTSI)scores,MPV and RDW in the death group were higher than those in the survival group(P<0.05).Logistic regression analysis showed that APACHEⅡ,MCTSI scores,MPV and RDW were risk factors for poor prognosis in patients with acute pancreatitis(P<0.05).The accuracy,sensitivity and specificity of combined prediction of CT scoring system,MPV and RDW on prognosis in patients with acute pancreatitis were significantly higher than those of CT scoring system and MPV and RDW(P<0.05).Conclusion CT scoring system combined with MPV and RDW has a high predictive value for the prognosis of patients with acute pancreatitis.