广西医学2018，Vol.40Issue(4)：413-416,420,5.DOI:10.11675/j.issn.0253-4304.2018.04.15
急性胰腺炎继发轻度认知功能障碍的危险因素及其预测效能
Risk factors and its predictive efficiency for mild cognitive impairment secondary to acute pancreatitis
陈万伟 1张薇 1唐喜玉 1王文龙1
作者信息
- 1. 安徽省芜湖市中医医院消化内科,芜湖市 241000
- 折叠
摘要
Abstract
Objective To investigate the risk factors and its predictive efficiency for secondary mild cognitive impairment(MCI) in the patients with acute pancreatitis.Methods The clinical data and follow-up results of 170 patients with acute pancreatitis were collected.Cox regression model was used to analyze the risk factors for secondary MCI in the patients with acute pancreatitis.The receiver operating characteristic curve was used to evaluate the efficiency of those risk factors for predicting secondary MCI in the patients with acute pancreatitis.Results The bedside index for severity in acute pancreatitis(BISAP),Marshall score,modified Early Warning Score (MEWS) and procalcitonin(PCT) content were the risk factors for secondary MCI in the patients with acute pancreatitis(P<0.05). BISAP,Marshall score and PCT content obtained a better predictive efficiency for secondary MCI in the patients with acute pancreatitis(the areas under the curve >0.7;all P<0.05).The optimal predictive sensitivity and specificity were achieved when the threshold values of BISAP,Marshall score and PCT content were 3.870 scores,9.281 scores and 3.581 ng/ml respectively.Conclusion Higher BISAP, Marshall score,MEWS score and PCT content,higher risk for secondary MCI patients with acute pancreatitis.BISAP,Marshall score and PCT content obtain a favorable predictive efficacy for secondary MCI in the patients with acute pancreatitis.关键词
急性胰腺炎/认知功能障碍/危险因素/预测Key words
Acute pancreatitis/Cognitive function impairment/Risk factor/Prediction分类
医药卫生引用本文复制引用
陈万伟,张薇,唐喜玉,王文龙..急性胰腺炎继发轻度认知功能障碍的危险因素及其预测效能[J].广西医学,2018,40(4):413-416,420,5.
