| 帅佳颖,刘英,刘岷,王全江,陈杰,程陈,骈林萍.肺超声评分鉴别中度与重度急性胰腺炎[J].中国医学影像技术,2023,39(3):361~364 |
| 肺超声评分鉴别中度与重度急性胰腺炎 |
| Lung ultrasound score for differentiating moderately and severe acute pancreatitis |
| 投稿时间：2022-07-20 修订日期：2023-01-05 |
| DOI：10.13929/j.issn.1003-3289.2023.03.010 |
| 中文关键词: 胰腺炎 肺 超声检查 |
| 英文关键词:pancreatitis lung ultrasonography |
| 基金项目:河南省卫生健康委国家中医临床研究基地科研专项（2021JDZY024）。 |
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| 中文摘要: |
| 目的 观察肺超声评分（LUS）鉴别中度急性胰腺炎（MAP）与重度急性胰腺炎（SAP）的价值。方法 前瞻性纳入83例急性胰腺炎（AP）患者，根据严重程度将其分为MAP组（n=51）和SAP组（n=32）。于入院48 h内行肺部超声检查及实验室检查，并于入院第7天重复进行肺部超声检查；观察各指标组间差异，分析LUS鉴别MAP与SAP的价值。结果 MAP组与SAP组患者体质量指数、C反应蛋白（CRP）、血尿素氮（BUN）、血钙及急性生理学和慢性健康状况评价Ⅱ（APACHE Ⅱ）评分差异均有统计学意义（P均<0.05）。入院48 h内及入院第7天，SAP组LUS均显著高于MAP组（P均<0.05）。MAP组入院第7天LUS显著低于入院48 h内（P<0.001），而SAP组变化不明显（P=0.056）。以入院48 h内LUS、CRP、BUN、血钙、APACHE Ⅱ评分、LUS+CRP及LUS+APACHE Ⅱ评分鉴别MAP与SAP的曲线下面积分别为0.908、0.892、0.786、0.857、0.887、0.954及0.964。结论 LUS对鉴别MAP与SAP具有一定价值。 |
| 英文摘要: |
| Objective To observe the value of lung ultrasound score (LUS) for differentiating moderately acute pancreatitis (MAP) and severe acute pancreatitis (SAP). Methods A total of 83 patients with acute pancreatitis (AP) were prospectively enrolled and divided into MAP group (n=51) and SAP group (n=32) according to the severity of disease. Lung ultrasound examination and laboratory examination were performed within 48 h of admission, and lung ultrasound examination was performed again at the 7th day of admission, then the relative parameters were compared between groups to explore the value of LUS for differentiating MAP and SAP. Results Significant differences of body mass index, C reactive protein (CRP), blood urea nitrogen (BUN), blood calcium and acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score were found between MAP group and SAP group (all P<0.05). LUS of SAP group were significantly higher than those of MAP group within 48 h and on the 7th day of admission (both P<0.05). LUS of MAP group on the 7th day of admission was significantly lower than that within 48 h of admission (P<0.001), while there was no significant difference of SAP group (P=0.056). The area under the curve of LUS, CRP, BUN, blood calcium, APACHE Ⅱ score, LUS+CRP and LUS+APACHE Ⅱ score for differentiating MAP and SAP within 48 h of admission was 0.908, 0.892, 0.786, 0.857, 0.887, 0.954 and 0.964, respectively. Conclusion LUS was valuable for differentiating MAP and SAP. |
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