APACHE-II、Balthazar CT评分对重症急性胰腺炎患者的严重度及预后评价探讨

Evaluation of the Prognosis and Severity of Severe Acute Pancreatitis by APACHE-II Score Associated with CT Classification

摘要: 目的：探讨APACHE-II、Balthazar CT评分系统在重症急性胰腺炎(SAP)患者的严重度及预后评估中的价值。方法：以2010年1月至2013年12月我院收治的资料完整的134例SAP患者为研究对象，回顾性分析APACHE-II评分、Balthazar CT分级与SAP病死率的关系。结果：APACHE-II、Balthazar CT评分系统中高分组与低分组在病死率方面差异有统计学意义。APACHE-II、Balthazar CT综合分型：APACHE-II、Balthazar CT分级病死率差异有统计学意义。结论：APACHE-II、Balthazar CT评分系统在预测重症急性胰腺炎的死亡率、是否手术、局部并发症和系统并发症发生率方面具有更全面作用，对诊治及预后评估更具有临床指导意义。

Abstract: Objective: To evaluate the use of APACHE-II, Balthazar CT Scoring System in terms of severity and prognosis of severe acute pancreatitis (SAP). Methodology: By studying patients suffering from severe acute pancreatitis (SAP) admitted to General Surgery Inner Mongolia Medical University Affiliated Hospital from January 1st, 2007 to December 31st, 2008, the relationship between APACHE-II, Balthazar CT scoring systems and the mortality rate of severe acute pancreatitis (SAP) was analyzed. Results: There was statistical difference between high and low score groups in the APACHE-II, Balthazar CT scoring systems. Comprehensive type of APACHE-II, Balthazar CT: There was statistical difference between the classifications of mortality of APACHE-II and Balthazar CT. Conclusion: APACHE-II score associated with CT grading score is significantly better than APACHE-II score and Balthazar CT score in predicting the death of severe acute Pancreatitis, possibility of surgery, systematic and local complications.