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目的探讨急性胰腺炎严重程度床边指数(BISAP)评分对急性胰腺炎严重程度的评估价值。方法对2008年2月至2010年12月104例急性胰腺炎病历资料作回顾性分析。按照中国急性胰腺炎诊治指南(草案)分为轻症急性胰腺炎组(58例)和重症急性胰腺炎组(46例),采用ROC曲线通过与Ranson评分的比较分析BISAP评分对急性胰腺炎严重程度的评估价值。结果 BISAP评分及Ranson评分在急性胰腺炎轻重组间差异有统计学意义(P<0.05);ROC曲线下面积(AUC)分别为0.80、0.83,经Z检验两者曲线下面积比较差异没有统计学意义,P>0.05。结论 BISAP评分对急性胰腺炎严重程度评估有一定价值。
Objective To evaluate the evaluation of the severity of acute pancreatitis by the bedside index of acute pancreatitis severity (BISAP) score. Methods The data of 104 cases of acute pancreatitis from February 2008 to December 2010 were retrospectively analyzed. According to the Chinese guidelines for the diagnosis and treatment of acute pancreatitis (draft) were divided into mild acute pancreatitis group (58 cases) and severe acute pancreatitis group (46 cases), using ROC curve by comparing with Ranson score BISAP score severe acute pancreatitis Evaluation of the degree of value. Results The BISAP score and Ranson score were significantly different between the mild and severe acute pancreatitis groups (P <0.05). The area under the ROC curve (AUC) was 0.80 and 0.83 respectively. There was no statistical difference between the two groups Significance, P> 0.05. Conclusion The BISAP score has certain value in the evaluation of the severity of acute pancreatitis.