武警医学2025，Vol.36Issue(9)：778-781,786,5.
全身免疫炎症指数与血清白蛋白比值判别急性胆源性胰腺炎严重程度的价值
Value of the ratio of systemic immune-inflammation index to serum albumin in judging the severity of acute biliary pancreatitis
刘伟 1杨柳生 2孙登群 2牛智慧 1孙艳军2
作者信息
- 1. 230041 合肥,武警安徽总队医院急诊医学科
- 2. 230041 合肥,武警安徽总队医院普外科
- 折叠
摘要
Abstract
Objective To explore the value of the ratio of systemic immune-inflammation index(SII)to serum albumin(ALB)in judging the severity of acute biliary pancreatitis(ABP).Methods A retrospective analysis was conducted on 136 patients with ABP admitted to the General Surgery Department of Anhui Provincial Corps Hospital from January 2022 to December 2024.The patients were divided into non-severe(n=98)and severe(n=38)groups according to the revised Atlanta criteria.Blood samples col-lected within 24 hours of admission were analyzed for routine and biochemical parameters.The SII/ALB ratio,neutrophil-to-lymphocyte ratio(NLR),platelet-to-lymphocyte ratio(PLR),and bedside index for severity in acute pancreatitis(BISAP)score were calculat-ed.Receiver operating characteristic(ROC)curves were used to compare the diagnostic performance of these indicators.Results The severe group exhibited significantly higher SII/ALB,NLR,PLR,and BISAP scores than the non-severe group(P<0.05).The ROC curve demonstrated that SII/ALB(AUC=0.804,95%CI=0.727-0.882)and BISAP(AUC=0.806,95%CI=0.731-0.881)had similar efficacy in judging the severity of ABP,and were superior to NLR(AUC=0.775,95%CI=0.693-0.856)and PLR(AUC=0.643,95%CI=0.540-0.746).Conclusions The SII/ALB ratio can be used as an effective indicator for early judgment of the se-verity of ABP and has high clinical application value.关键词
全身免疫炎症指数/血清白蛋白/急性胆源性胰腺炎/病情严重程度Key words
systemic immune-inflammation index/serum albumin/acute biliary pancreatitis/disease severity分类
医药卫生引用本文复制引用
刘伟,杨柳生,孙登群,牛智慧,孙艳军..全身免疫炎症指数与血清白蛋白比值判别急性胆源性胰腺炎严重程度的价值[J].武警医学,2025,36(9):778-781,786,5.
