Role of MSCT and CRP detection in evaluating the severity of acute pancreatitis

摘要

Objective: To explore the role of MSCT and CRP detection in evaluating the severity of acute pancreatitis (AP). Methods: A total of 70 patients with AP who were admitted in our hospital from April, 2016 to April, 2017 were included in the study and divided into MAP group and SAP group with 35 cases in each group according to the clinical diagnosis and grading criteria of AP. Moreover, 35 healthy individuals who came for physical examination were served as the control group. The peripheral venous blood and urine were collected after admission. The enzyme dynamics method was used to detect AMY, UAMY, and CRP. The dynamic change of CRP was observed 1, 3, 5, and 7 d after admission. 16 spiral CT was used to study CRP change and CT grading. Results: AMY, UAMY, and CRP in MAP and SAP group were significantly higher than those in the control group. CRP level in SAP group was significantly higher than that in MAP group. CRP level was elevated with the increasing of clinical degree and CT grading. CRP level in D and E grades were significantly higher than those in grade A, B, and C grades. Conclusions: CT grading and CRP detection in patients with AP can accurately reflect the severity degree and prognosis, and the combined detection plays a vital role in the early diagnosis, condition evaluation and monitoring, and clinical treatment.