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目的探究不同检测指标对急性胰腺炎的早期诊断价值。方法 62例急性胰腺炎患者作为实验组;同期接受治疗的62例慢性胰腺炎患者作为参照组,对比两组患者各指标的检测值。结果实验组患者的脂肪酶(LPS)检测值为(461±94)U/L、尿淀粉酶(U-Amy)为(2544±382)U/L、血淀粉酶(S-Amy)为(957±142)U/L、C反应蛋白(CRP)为(196±34)mg/L、胰蛋白酶原激活肽(TAP)为(12.2±2.4)nmol/L;参照组分别为(369±85)U/L、(1196±303)U/L、(749±123)U/L、(149±29)mg/L、(7.3±1.5)nmol/L;实验组各项指标均高于参照组(P<0.05)。LPS的敏感性及特异性均显著高于其他四项指标(P<0.05)。结论 LPS、U-Amy、S-Amy、CRP以及TAP可以作为急性胰腺炎早期诊断的参考指标,其中LPS可以作为急性胰腺炎早期诊断的重要指标。
Objective To investigate the early diagnosis value of different test indexes in acute pancreatitis. Methods Sixty-two patients with acute pancreatitis were selected as the experimental group. Sixty-two patients with chronic pancreatitis treated at the same period were selected as the reference group to compare the measured values of the two groups of patients. Results The lipase (LPS) of the experimental group was (461 ± 94) U / L, the urinary amylase was (2544 ± 382) U / L and the blood amylase was 957 ± 142) U / L, CRP was (196 ± 34) mg / L and TAP was (12.2 ± 2.4) nmol / (1196 ± 303) U / L, (749 ± 123) U / L, (149 ± 29) mg / L and (7.3 ± 1.5) nmol / L respectively.The indexes in the experimental group were all higher than those in the reference group Group (P <0.05). The sensitivity and specificity of LPS were significantly higher than the other four indicators (P <0.05). Conclusion LPS, U-Amy, S-Amy, CRP and TAP can be used as reference indicators for early diagnosis of acute pancreatitis. LPS can be used as an important indicator of early diagnosis of acute pancreatitis.