【摘要】 目的：探讨全身免疫炎症指数（Systemic Immune Inflammation Index, SII）与急性重症胰腺炎（Acute Severe Pancreatitis, SAP）的相关性，并评估SII联合急性胰腺炎严重程度床边指数（Bedside Index for Severity in Acute Pancreatitis, BISAP）对SAP的早期预测价值。方法：选取149名急性胰腺炎（Acute Pancreatitis, AP）患者，根据病情严重程度分为SAP组和非SAP组，比较2组患者SII和BISAP评分，分析各项实验室指标对SAP的早期预测价值。结果：SAP组患者SII、BISAP评分均高于非SAP组（<0.05）。ROC曲线展示SII、BISAP评分及两者联合预测SAP的曲线下面积（AUC）分别为0.818(95%CI:0.747～0.890),0.878(95%CI:0.821～0.935)和0.923(95%CI:0.879～0.967)。结论：SII结合BISAP评分对SAP的早期预测有着一定的临床价值。更多还原

【Abstract】 Objective: To investigate the correlation of Systemic immune inflammation index(SII) on acute severe pancreatitis(SAP), and further to jointly explore the bedside index for severity in acute pancreatitis(BISAP) in combination with SII for early prediction of SAP pancreatitis(BISAP) for early prediction of SAP. Methods: 149 patients with AP were selected and divided into SAP group and non-SAP group according to the severity of the disease, comparing the SII and BISAP scores of the two groups, and analysing the early predictive value of various laboratory indexes for SAP. Results: The SII and BISAP scores were higher in the SAP group than in the non-SAP group(<0.05), and the ROC curves demonstrated that the areas under the curve(AUC) of the SII and BISAP scores and the combination of the two for the prediction of SAP were 0.818(95% CI0.747～0.890), 0.878(95% CI:0.821～0.935) and 0.923(95% CI:0.923～0.935)respectively.) and 0.923(95% CI:0.879～0.967).Conclusion:SII combined with BISAP score has a certain clinical value for early prediction of SAP.更多还原