HAPS评分联合WBC计数评估急性高脂血症胰腺炎严重程度的价值分析  

作　　者：黄志强 林敏杰 黄洪军 张举 孟兴成 吴志明 

机构地区：[1]浙江省绍兴市中心医院,312000

出　　处：《浙江临床医学》2024年第8期1182-1184,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨无害性急性胰腺炎评分(HAPS)联合WBC计数评估急性高脂血症胰腺炎严重程度的价值。方法选取2021年1月至2023年5月确诊急性高脂血症性胰腺炎患者111例,其中非重症急性胰腺炎组(non-SAP)92例,重症急性胰腺炎组(SAP)19例。比较两组患者WBC计数、CRP、BMI值、血淀粉酶、甘油三酯、血糖、血钠、血钙水平以及HAPS评分的差异。结果两组患者HAPS评分及WBC计数比较,差异有统计学意义(P<0.05)。Logistic回归分析WBC计数和HAPS评分是急性高脂血症性胰腺炎的独立危险因素。ROC曲线显示HAPS评分联合WBC计数对急性高脂血症性胰腺炎严重程度有一定的预测价值(AUC=0.898,P<0.05)。结论HAPS评分联合WBC计数对急性高脂血症性胰腺炎严重程度具有较好评估价值,可作为早期预测评估指标。Objective To explore the value of Harmless Acute Pancreatitis Score(HAPS)combined with WBC count in evaluating the severity of acute hyperlipidemic pancreatitis.Method The study subjects were 111 patients diagnosed with acute hyperlipidemic pancreatitis from November 2021 to March 2023,including 92 cases in the Non severe Acute Pancreatitis(non-SAP)group and 19 cases in the Severe Acute Pancreatitis(SAP)group.The differences in WBC count,CRP,BMI value,blood amylase,triglycerides,blood glucose,blood sodium,blood calcium level,and HAPS score between two groups of patients were compared.Results The HAPS score and WBC count of SAP group patients were significantly higher than those of non-SAP group(P<0.05).Binary logistic regression showed WBC count and HAPS score are independent risk factors for acute hyperlipidemic pancreatitis.The ROC curve showed that the combination of HAPS and WBC count(AUC=0.898,P<0.05).Conclusion The combination of HAPS score and WBC count has good evaluation value for the severity of acute hyperlipidemic pancreatitis and can be used as an early predictive evaluation indicator.

关 键 词：HAPS评分 WBC计数 急性高脂血症性胰腺炎 

分 类 号：R576[医药卫生—消化系统]