血清淀粉酶、血细胞比容及C反应蛋白联合检验在急性胰腺炎诊断中的应用价值  

Application Value of Combined Detection of Serum Amylase,Hematocrit and C-reactive Protein in the Diagnosis of Acute Pancreatitis

作　　者：赖佛香 LAI Fo-xiang(Laboratory Department of Guangxin District Hospital of Traditional Chinese Medicine,Shangrao 334100,Jiangxi,China)

机构地区：[1]上饶市广信区中医院检验科,江西上饶334100

出　　处：《医学信息》2024年第13期134-137,共4页Journal of Medical Information

摘　　要：目的研究血清淀粉酶(AMY)、血细胞比容(HCT)及C反应蛋白(CRP)联合检验在急性胰腺炎(AP)诊断中的应用价值。方法将2020年1月-2023年5月上饶市广信区中医院接诊的70例AP患者设为AP组,另取同期就诊的50例非AP急腹症患者设为非AP组,检测两组AMY、HCT、CRP指标,比较AP组与非AP组的AMY、HCT、CRP检测结果,统计不同病情程度AP患者的AMY、HCT、CRP水平,并分析AMY、HCT、CRP及其联合检验对AP疾病的诊断价值。结果AP组AMY水平高于非AP组(P<0.05),但两组HCT、CRP水平比较,差异无统计学意义(P>0.05)。MAP、MSAP、SAP患者血清AMY水平比较,差异无统计学意义(P>0.05),而HCT、CRP水平由高至低依次为SAP>MSAP>MAP(P<0.05)。AMY、HCT、CRP联合检测对AP疾病的诊断准确性、敏感度与特异度高于其单一检测(P<0.05)。结论血清AMY、HCT及CRP联合检验在AP检测中具有较高的诊断效能。Objective To study the application value of combined detection of serum amylase(AMY),hematocrit(HCT)and C-reactive protein(CRP)in the diagnosis of acute pancreatitis(AP).Methods From January 2020 to May 2023,70 AP patients admitted to Guangxin District Hospital of Traditional Chinese Medicine in Shangrao City were set as AP group,and 50 non-AP acute abdomen patients were set as non-AP group.The AMY,HCT and CRP indexes of the two groups were detected,and the AMY,HCT and CRP test results of AP group and non-AP group were compared.The AMY,HCT and CRP levels of AP patients with different severity were counted,and the diagnostic value of AMY,HCT,CRP and their combined test for AP disease was analyzed.Results The level of AMY in AP group was higher than that in non-AP group(P<0.05),while there was no significant difference in HCT and CRP levels between the two groups(P>0.05).There was no significant difference in serum AMY level among MAP,MSAP and SAP patients(P>0.05),while the levels of HCT and CRP from high to low were SAP>MSAP>MAP(P<0.05).The diagnostic accuracy,sensitivity and specificity of combined detection of AMY,HCT and CRP for AP disease were higher than those of single detection(P<0.05).Conclusion The combined test of serum AMY,HCT and CRP has high diagnostic efficacy in AP detection.

关 键 词：急性胰腺炎 血清淀粉酶 血常规 C反应蛋白 血细胞比容 

分 类 号：R446.1[医药卫生—诊断学]