C反应蛋白与淀粉酶联合检测在急性胰腺炎诊治中的意义  

Significance of Combined Detection of C-Reactive Protein and Amylase in Diagnosis and Treatment of Acute Pancreatitis

作　　者：武传祥 徐敏[1] 彭青[1] 许娣 Wu Chuan-xiang;Xu Min;Peng Qing;Xu Di(Department of Gastroenterology,Suqian Zhongwu Hospital,Suqian 223800,Jiangsu Province,China)

机构地区：[1]宿迁市钟吾医院消化内科,江苏宿迁223800

出　　处：《中国社区医师》2022年第15期126-128,共3页Chinese Community Doctors

摘　　要：目的:分析C反应蛋白联合淀粉酶检测对急性胰腺炎患者早期诊断的价值。方法:选取2018年1月-2020年6月宿迁市钟吾医院收治的急性胰腺炎患者56例作为AP组;AP组根据病情轻重分为轻症亚组(36例)和重症亚组(20例);选取同期无急性胰腺炎的急腹症住院患者40例为NAA组,以及健康体检者55例为健康组。所有患者均行C-反应蛋白和淀粉酶检测,比较各组的检测结果。结果:AP组患者轻症亚组与重症亚组C反应蛋白与淀粉酶水平比较,轻症组C反应蛋白低于重症亚组,差异具有统计学意义(P<0.05);AP组C反应蛋白、淀粉酶水平高于健康组,差异具有统计学意义(P<0.05);NAA组淀粉酶低于AP组,差异具有统计学意义(P<0.05)。结论:C-反应蛋白与淀粉酶联合检测可提高急性胰腺炎早期诊断的准确性,可以确定患者病情的严重程度。Objective:To analyze the early diagnosis value of C-reactive protein and amylase combined detection in patients with acute pancreatitis.Methods:A total of 56 patients with acute pancreatitis who were admitted to Suqian Zhongwu Hospital from January 2018 to June 2020 were selected as AP group;AP group was divided into mild subgroup(36 cases) and severe subgroup(20 cases) according to the severity of the disease.40 inpatients with acute abdominal disease without acute pancreatitis during the same period were selected as the NAA group,and 55 healthy subjects for physical examination were selected as the healthy group.All patients were tested for C-reactive protein and amylase.The test results of each group were compared.Results:The levels of Creactive protein and amylase in the mild subgroup and the severe subgroup of the AP group were compared,the C-reactive protein in the mild subgroup was lower than that in the severe subgroup,and the difference was statistically significant(P<0.05).The Creactive protein and amylase levels of AP group were higher than those of the healthy group,and the difference was statistically significant(P<0.05);the amylase level in the NAA group was lower than that in the AP group,and the difference was statistically significant(P<0.05).Conclusion:The combined detection of C-reactive protein and amylase can improve the accuracy of early diagnosis of acute pancreatitis and determine the severity of the patient’s condition.

关 键 词：C反应蛋白 淀粉酶 急性胰腺炎 

分 类 号：R576[医药卫生—消化系统]