Dynmaic changes of modified early warning score in acute pancreatitis
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摘要: 目的 探讨改良的早期预警评分(MEWS)及其动态变化在急性胰腺炎轻重方面的作用.方法 对103例急性胰腺炎患者分为轻症和重症2组,入院后第1、2天记录患者的MEWS评分及动态变化(△MEWS)、Ranson评分和急性生理与慢性健康评分( APACHEⅡ评分),通过ROC曲线及截断值进行比较分析.结果 2组患者MEWS评分及动态变化(△MEWS)、Ranson评分和APACHEⅡ评分均有显著差异(P＜0.01),MEWS评分及动态变化(△MEWS)与Ranson评分、APACHEⅡ评分预测重症胰腺炎的ROC曲线下面积分别为0.733、0.745、0.767、0.792比较差异无统计学意义.结论 MEWS评分及动态变化( △ MEWS)可以用来评估急性胰腺炎患者的轻重.MEWS评分简便易行,适合早期筛选危重急性胰腺炎患者.
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