探讨红细胞分布宽度对急性胰腺炎严重程度的评估价值
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摘要
目的探讨红细胞分布宽度(RDW)对急性胰腺炎严重程度的评估价值。方法方便选择2016年1月—2018年10月就诊于该院的78例急性胰腺炎患者为观察组(重度23例,中度27例,轻度28例),选择同期就诊于该院的非急性胰腺炎患者78例为对照组。对比两组RDW水平,并统计重度急性胰腺炎患者住院期间病死率,分析不同病情和预后患者一般资料。结果重度组RDW水平(16.04±1.60)%>中度组(14.01±0.72)%>轻度组(12.62±0.53)%>对照组(12.19±0.59)%,差异有统计学意义(F=14.514,P=0.00);重度组RDW水平为(16.01±1.60)%、APACHEⅡ评分为(22.14±8.16)分、Ranson评分(4.57±1.22)分均显著高于对照组的(13.18±0.88)%、(6.70±5.56)分、(2.11±1.42)分,差异有统计学意义(t=10.029、9.683、7.257,P=0.00);23例重度急性胰腺炎患者28 d内死亡7例(30.43%),生存16例(69.57%),差异有统计学意义(χ~2=7.044,P=0.008);死亡组RDW水平为(17.08±1.54)%、APACHEⅡ评分(29.46±4.09)分、Ranson评分(5.42±1.21)分均高于对照组到的(15.19±1.12)%、(16.29±5.37)分、(3.87±0.72)分,差异有统计学意义(t=3.325、5.769、3.852,P=0.003、0.000、0.001)。结论 RDW水平可有效评估急性胰腺炎患者的严重程度和预后。
Objective To investigate the value of red blood cell distribution width(RDW) in assessing the severity of acute pancreatitis. Methods A total of 78 patients with acute pancreatitis who were admitted to our hospital from January 2016 to October 2018 were convenient selected as observation group(23 patients, moderate 27 patients, mild 28 patients). The patients who were selected for the same period in our hospital were non-acute. 78 patients with pancreatitis were in the control group. The RDW levels were compared between the two groups, and the mortality of patients with severe acute pancreatitis during hospitalization was analyzed. The general data of patients with different conditions and prognosis were analyzed.Results The RDW level in the severe group(16.04±1.60)%>moderate group(14.01±0.72)%>mild group(12.62±0.53)%>control group(12.19±0.59)%, the difference was statistically significant(F=14.514, P=0.00); the RDW level of the severe group was(16.01±1.60)%, the APACHE Ⅱ score was(22.14±8.16)points, and the Ranson score(4.57±1.22)points was significantly higher than the control group(13.18±0.88)%,(6.70±5.56) points,(2.11±1.42) points, the difference was statistically significant(t=10.029, 9.683, 7.257, P=0.00); 23 cases of severe acute pancreatitis died within 7 days(30.43%), survival was 16 cases(69.57%), the difference was statistically significant(χ~2=7.044, P =0.008); RDW level of death group was(17.08±1.54)%, APACHE Ⅱ score(29.46±4.09)points, Ranson score(5.42±1.21)points, were higher than those in the control group(15.19 ±1.12)%,(16.29±5.37)points, and(3.87 ±0.72)points, and the difference was statistically significant(t =3.325,5.769, 3.852, P=0.003, 0.000, 0.001). Conclusion RDW levels can effectively assess the severity and prognosis of patients with acute pancreatitis.
Objective To investigate the value of red blood cell distribution width(RDW) in assessing the severity of acute pancreatitis. Methods A total of 78 patients with acute pancreatitis who were admitted to our hospital from January 2016 to October 2018 were convenient selected as observation group(23 patients, moderate 27 patients, mild 28 patients). The patients who were selected for the same period in our hospital were non-acute. 78 patients with pancreatitis were in the control group. The RDW levels were compared between the two groups, and the mortality of patients with severe acute pancreatitis during hospitalization was analyzed. The general data of patients with different conditions and prognosis were analyzed.Results The RDW level in the severe group(16.04±1.60)%>moderate group(14.01±0.72)%>mild group(12.62±0.53)%>control group(12.19±0.59)%, the difference was statistically significant(F=14.514, P=0.00); the RDW level of the severe group was(16.01±1.60)%, the APACHE Ⅱ score was(22.14±8.16)points, and the Ranson score(4.57±1.22)points was significantly higher than the control group(13.18±0.88)%,(6.70±5.56) points,(2.11±1.42) points, the difference was statistically significant(t=10.029, 9.683, 7.257, P=0.00); 23 cases of severe acute pancreatitis died within 7 days(30.43%), survival was 16 cases(69.57%), the difference was statistically significant(χ~2=7.044, P =0.008); RDW level of death group was(17.08±1.54)%, APACHE Ⅱ score(29.46±4.09)points, Ranson score(5.42±1.21)points, were higher than those in the control group(15.19 ±1.12)%,(16.29±5.37)points, and(3.87 ±0.72)points, and the difference was statistically significant(t =3.325,5.769, 3.852, P=0.003, 0.000, 0.001). Conclusion RDW levels can effectively assess the severity and prognosis of patients with acute pancreatitis.
引文
[1]杨创,陈兆生,马承恩.BISAP评分联合红细胞分布宽度早期评估急性胰腺炎严重程度的价值[J].中国现代普通外科进展,2018,21(4):284-286.
[2]陈雪,高峰,张杰.中性粒细胞与淋巴细胞比值、血小板与淋巴细胞比值和红细胞分布宽度对急性高甘油三酯血症性胰腺炎严重程度的预判价值[J].中国临床医生杂志,2018,46(8):898-901.
[3]郑丹,张胜,崔可,等.平均血小板体积联合红细胞分布宽度对重症急性胰腺炎预后的价值[J].实用医学杂志,2018,34(8):1294-1296.
[4]中华医学会消化病学分会胰腺疾病学组,中华胰腺病杂志编辑委员会,中华消化杂志编辑委员会,等.中国急性胰腺炎诊治指南(2013,上海)[J].中华消化杂志,2013,33(4):217-222.
[5]宋克玉,吴旭平,宋为娟.红细胞分布宽度和D-二聚体联合检测在急性胰腺炎严重程度判断中的意义[J].中南医学科学杂志,2018,46(5):529-531.
[6]张婷,赵严.红细胞分布宽度在急性胰腺炎中的应用进展[J].中华胰腺病杂志,2017,17(1):70-72.
[7]吕远军,梁春娜,刘健培.红细胞分布宽度对判断急性胰腺炎病情和预后的意义[J].2015,46(8):511-514.
[8]陈南,陆士奇.红细胞分布宽度对急性重症胰腺炎患者院内死亡的预测价值[J].中国急救医学,2015,35(8):715-718.
[9]乔方.红细胞体积分布宽度中性粒细胞与淋巴细胞比值预测急性胰腺炎预后的价值[J].贵州医科大学学报,2017,42(9):1084-1087.
[10]栾兴伟,黄猛,孙美玲,等.RDW预测急性胰腺炎死亡风险的价值及其与网织红细胞各参数相关性的研究[J].国际检验医学杂志,2017,38(4):439-441.
[2]陈雪,高峰,张杰.中性粒细胞与淋巴细胞比值、血小板与淋巴细胞比值和红细胞分布宽度对急性高甘油三酯血症性胰腺炎严重程度的预判价值[J].中国临床医生杂志,2018,46(8):898-901.
[3]郑丹,张胜,崔可,等.平均血小板体积联合红细胞分布宽度对重症急性胰腺炎预后的价值[J].实用医学杂志,2018,34(8):1294-1296.
[4]中华医学会消化病学分会胰腺疾病学组,中华胰腺病杂志编辑委员会,中华消化杂志编辑委员会,等.中国急性胰腺炎诊治指南(2013,上海)[J].中华消化杂志,2013,33(4):217-222.
[5]宋克玉,吴旭平,宋为娟.红细胞分布宽度和D-二聚体联合检测在急性胰腺炎严重程度判断中的意义[J].中南医学科学杂志,2018,46(5):529-531.
[6]张婷,赵严.红细胞分布宽度在急性胰腺炎中的应用进展[J].中华胰腺病杂志,2017,17(1):70-72.
[7]吕远军,梁春娜,刘健培.红细胞分布宽度对判断急性胰腺炎病情和预后的意义[J].2015,46(8):511-514.
[8]陈南,陆士奇.红细胞分布宽度对急性重症胰腺炎患者院内死亡的预测价值[J].中国急救医学,2015,35(8):715-718.
[9]乔方.红细胞体积分布宽度中性粒细胞与淋巴细胞比值预测急性胰腺炎预后的价值[J].贵州医科大学学报,2017,42(9):1084-1087.
[10]栾兴伟,黄猛,孙美玲,等.RDW预测急性胰腺炎死亡风险的价值及其与网织红细胞各参数相关性的研究[J].国际检验医学杂志,2017,38(4):439-441.