宋克玉,吴旭平,宋为娟.红细胞分布宽度和D-二聚体联合检测在急性胰腺炎严重程度判断中的意义.[J].中南医学科学杂志.,2018,(5):529-531.
红细胞分布宽度和D-二聚体联合检测在急性胰腺炎严重程度判断中的意义
Significance of red blood cell distribution width combined with D-dimer level detection in judging the severity of acute pancreatitis
投稿时间:2018-04-12  修订日期:2018-08-30
DOI:10.15972/j.cnki.43-1509/r.2018.05.022
中文关键词:  急性胰腺炎  红细胞分布宽度  D-二聚体
英文关键词:acute pancreatitis  red blood cell distribution width  D-dimer
基金项目:
作者单位
宋克玉 南京市第二医院肝病研究室,江苏 南京 210003 
吴旭平 南京市第二医院肝病研究室,江苏 南京 210003 
宋为娟 江苏省人民医院检验学部 
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中文摘要:
      探讨红细胞分布宽度(RDW)和血浆D-二聚体联合检测在急性胰腺炎(AP)严重程度判断中的意义。将104例急性胰腺炎患者根据病情严重程度分为轻型急性胰腺炎(MAP)组69例,重型急性胰腺炎(SAP)组35例,选取同期体检健康者46例为对照组。检测各组的RDW和血浆D-二聚体水平,结果显示AP组的RDW和D-二聚体高于对照组(P<0.05);SAP组的RDW和D-二聚体高于MAP组(P<0.05)。对单项指标和联合检测指标通过受试者工作特征曲线(ROC曲线)分析发现,RDW和D-二聚体联合检测的曲线下面积(AUC)较单项指标高,可更好地评估AP患者的病情严重程度。
英文摘要:
      To investigate the significance of combined detection of red blood cell distribution width (RDW) and plasma D-dimer level in evaluation of the severity of acute pancreatitis (AP), 104 AP patients were divided into mild acute pancreatitis (MAP) group (n=69) and severe acute pancreatitis (SAP) group (n=35), 46 healthy people were selected as control group. The AP group had obviously higher RDW and D-dimer level than the control group (P<0.05), the SAP group had obviously higher RDW and D-dimer level than the MAP group (P<0.05). The area under the curve detected by combination of RDW and D-dimer in the receiver operating characteristic curve (ROC curve) was higher than that of single index. Combined detection can better assess the severity of AP patients.
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