J Int Med Res:高胆红素血症可预测急性阑尾炎的严重程度

2020-07-26 MedSci原创 MedSci原创

本研究旨在探讨日本患者术前高胆红素血症的临床意义,并评估其作为预测急性阑尾炎严重程度的临床潜力。

本研究旨在探讨日本患者术前高胆红素血症的临床意义,并评估其作为预测急性阑尾炎严重程度的临床潜力。

 

我们研究了318名在2010年7月至2017年6月期间接受阑尾切除术的阑尾炎患者。我们利用多变量分析,分析了术前数据,包括年龄、性别、白细胞计数、C反应蛋白(CRP)水平、发热、腹膜刺激征和血清总胆红素水平,作为复杂(穿孔或坏疽)阑尾炎的潜在危险因素。

 

结果显示,高胆红素血症(>1.1 mg/dL)、高CRP水平(>0.5 mg/dL)、腹膜刺激征阳性、发热(>37.3℃)的患者,并发阑尾炎的发生率明显更高。多变量分析显示,年龄较大(>64岁)、高胆红素血症、高CRP水平和发热(OR分别为3.36、1.75、7.61和2.43)是并发阑尾炎的危险因素。多变量分析还发现,在年龄<65岁的患者中,高胆红素血症、高CRP水平和发热(OR分别为1.99、5.90和2.72)是并发阑尾炎的危险因素。

 

总之,该结果表明,高胆红素血症、高CRP水平和发热可能是预测急性阑尾炎严重程度的有用指标,其中高胆红素血症在年龄<65岁的患者中尤其有用。

 

原始出处:

 

Masaaki Akai, Kazuhide Iwakawa, et al., Hyperbilirubinemia as a predictor of severity of acute appendicitis. J Int Med Res. 2019 Aug;47(8):3663-3669. doi: 10.1177/0300060519856155.  

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