南方医科大学学报2017，Vol.37Issue(7)：993-996,4.DOI:10.3969/j.issn.1673-4254.2017.07.25
红细胞分布宽度评估急性胰腺炎严重程度的价值
Value of red blood cell distribution width in assessing the severity of acute pancreatitis
摘要
Abstract
Objective To explore the value of red blood cell distribution width (RDW) in assessment of the severity of acute pancreatitis (AP). Methods This retrospective analysis was conducted among 527 patients with AP treated in our department from May, 2013 to May, 2016. According to the severity of the condition, the patients were classified into mild acute pancreatitis (MAP) group, moderately severe acute pancreatitis (MSAP) group and severe acute pancreatitis (SAP) group, with 105 subjects without AP as the control group. The demographic data and data of RDW were collected from all cases to evaluate the value of RDW in assessing the severity of AP in comparison with classic evaluation indicators glucose (Glu) and calcium (Ca). Results The patients with AP and the control subjects showed significant differences in RDW, Glu and Ca (P<0.05). RDW and Glu was significantly higher but Ca was significantly lower in SAP patients than in MAP and MSAP patients (P<0.05). Binary classification logistic regression analysis showed that Glu (P<0.05, OR=2.343), Ca (P<0.05, OR=2.182) and RDW (P<0.05, OR=3.374) were all independent risk factors for AP. The area under the ROC curve for predicting SAP decreased in the order of RDW (0.801), Glu (0.658), and Ca (0.227). Conclusion RDW is a useful indicator for evaluation of the severity of AP.关键词
红细胞分布宽度/急性胰腺炎/严重程度Key words
red blood cell distribution width/acute pancreatitis/severity引用本文复制引用
汪俏妹,罗明武,肖冰..红细胞分布宽度评估急性胰腺炎严重程度的价值[J].南方医科大学学报,2017,37(7):993-996,4.基金项目
广州市科技计划项目(2014Y2-00088) （2014Y2-00088）
国家消化系统疾病临床医学研究中心科技支撑项目(2015BAI13B07) （2015BAI13B07）
