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目的探讨BISAP评分在早期预测急性胰腺炎(AP)严重度及病死率的应用价值。方法以AP患者为研究对象,行BISAP及Ranson评分,运用二者的受试者工作特征曲线(receiver-operating curve,ROC曲线)行回顾性分析,探讨BISAP评分对AP病情严重度和病死率的预测价值。结果 64例患者纳入研究,其中重症者36例(56.25%),共死亡9例(14.06%),BISAP评分≥3分的30例(46.88%),Ranson评分≥3分的40例(62.50%)。严重度的曲线下面积BISAP、Ranson评分分别为:0.863(95%CI:0.741~0.984),0.808(95%CI:0.667~0.950),P=0.055,病死率二者分别为:0.912(95%CI:0.827~0.996),0.847(95%CI:0.716~0.979),P=0.758。结论在AP早期,BISAP评分对患者病情严重度、病死率的预后评估的准确性与Ranson评分一致。
Objective To investigate the value of BISAP in predicting the severity and mortality of acute pancreatitis (AP) in the early stage. Methods A retrospective analysis of the receiver operating curve (ROC curve) of patients with AP was performed with BISAP and Ranson scores. The relationship between BISAP score and severity of AP and mortality Predicted value. Results A total of 64 patients were included in the study, including 36 severe cases (56.25%), 9 (14.06%) died, 30 (46.88%) with BISAP ≥3 and 62.50% with Ranson ≥3 ). The BISAP and Ranson scores for the severity under the curve were 0.863 (95% CI: 0.741-0.984), 0.808 (95% CI: 0.667-0.950), P = 0.055, and the mortality were 0.912 (95% CI: 0.827-0.996), 0.847 (95% CI: 0.716-0.979), P = 0.758. Conclusion In the early stage of AP, the BISAP score was consistent with the Ranson score in assessing the prognosis of patients with severity and mortality.