血清淀粉酶、白细胞及C反应蛋白联合检验在急性胰腺炎诊断中的应用价值

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中图分类号：R446 文献标识码：A

DOI：10.3969/j.issn.1006-1959.2025.14.028 文章编号：1006-1959（2025）14-0139-05

Abstract：OjectieTexploretheaplicationvalueofombieddetectionofserumamylse，hitebloodcelldCreactiveproteininthe diagosisfteetidroeeefaosisesotalfsidied DistrictPeoplesHospitalfomJanuary2toDecember24wereseletedasAPground2patientsitoutAPduringthesameiodwere selectedasooupeeousblodofpatientsasoltedndtevelsofumase（rateethod）iteblodclse scateingethodandCreactieprotein（mmunetrasmisionurbidimet）weredetetedbyspecifcinstrumentsandsupportingitse diagnostic value of each index alone and combined detection for AP（AUC，cut-off value，95 %Cl， sensitivity，specificity，Youden index） was analyzed， andteserumindelevelsoftetogopsdpatientsitdierentseveityerecompaedResultselevelsofsuylsiebloo cells and C-reactive proteinin AP group were higher than thosein non-AP group（ P<0.05 ）.Thelevels of serumamylase，whiteblood cellsand Creactive protein in patients with severe AP were higher than those in patients with mild AP（ Pe <0.05）.The AUC，sensitivity，specificityand Youden indexofcombineddetectionofserumamylase，whitebloodcellndreactiveproteininPwerehighertantoseofsingledetetion（ Pe <0.05）. ThAUCesiieiindueneofdetaaieiftisgo singledetectioO）.Cousioobdstofseitloelndacieotenaslaioaue thediagosistloosdeleifo support for early diagnosis and treatment.

Key Words：Serum amylase;White blood cells; C-reactive protein;Acute pancreatitis; Early diagnosis

急性胰腺炎（acutepancreatitis，AP）是临床常见的急腹症之一，其发病率呈逐年上升趋势，全球年发病率约为34/10万[1。（剩余5968字）