文献

J-GLOBAL ID：202102246311614245   整理番号：21A1884947

急性膵炎におけるクレアチニン-アルブミン比の予後的価値【JST・京大機械翻訳】

Prognostic value of the creatinine-albumin ratio in acute pancreatitis debridement

著者 (26件)： Zhao Zhifeng (Department of General Surgery, Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Zhao Zhifeng (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Yu Yeping (School of Clinical Medicine, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Yu Yeping (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Xie Rongli (Luwan Branch, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Xie Rongli (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Yang Kaige (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Xu Dan (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Li Li (Luwan Branch, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Li Li (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Lin Jiayun (Department of General Surgery, Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Lin Jiayun (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Zheng Lei (Department of General Surgery, Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Zheng Lei (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Zhang Chihao (Department of General Surgery, Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Zhang Chihao (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Xu Xin (Department of General Surgery, Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Xu Xin (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Chen Ying (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Chen Ying (Department of Emergency, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Xu Zhiwei (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Chen Erchen (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Chen Erchen (Department of Emergency, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Luo Meng (Department of General Surgery, Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Luo Meng (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China) ,  Fei Jian (Pancreatic Treatment Center, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China)
資料名： BMC Surgery (Web)  (BMC Surgery (Web))
巻： 20  号： 1  ページ： 1-10  発行年： 2020年 
JST資料番号： U7452A  ISSN： 1471-2482  資料種別： 逐次刊行物 (A)
記事区分： 原著論文  発行国： イギリス (GBR)  言語： 英語 (EN)

抄録/ポイント： 血清C反応性蛋白質(CRP)とクレアチニン(Cr)のレベルの増加とアルブミン(Alb)のそれらの減少は,急性膵炎(AP)で通常観察される。AP患者における外科的治療効果の予測におけるCr/AlbおよびCRP/Alb比の有効性を評価することを目的とした。本研究は,2008年1月~2018年11月に,上海のRuijin病院においてデブリードマンを受けた140例のAP患者から得られた臨床データを遡及的に分析した。入院時および手術前のCr/AlbおよびCRP/Alb比を,臨床統計,予後の予測およびロジスティック回帰分析で評価した。入院時Cr/Albは4つの比率の最良の予測値を有した。この値は再手術患者および死亡者(P<0.05)で有意に高く,急性生理学および慢性健康評価(APACHE II)スコア,入院時CRP/Alb,術前Cr/Albおよび術後合併症と相関した。入院時Cr/Albは,AP関連再手術と死亡率のリスクを,それぞれ,86.3%,61.7%と0.824,および73.4%,81.3%と0.794の曲線下面積で,感度,特異性,および面積で予測することができた。3.43のカットオフ値で,入院時Cr/Alb値は,臨床検査値,APACHE IIスコア,術後合併症の率および再手術および死亡率(P<0.05)を含む,より悪い臨床状態を示した。ロジスティック回帰分析において,入院時Cr/Alb値は,APACHE IIスコア,術後腎不全および死亡率と独立して関連していた。Cr/Albは,AP患者におけるデブリードマンの効果の予測に対して,新規であるが有望な,測定可能な,再現可能な,非侵襲的予後スコアである。Copyright 2021 The Author(s) All rights reserved. Translated from English into Japanese by JST.【JST・京大機械翻訳】

シソーラス用語： *アルブミン ,  血清 ,  死 ,  死亡率 ,  *予後 ,  C反応性タンパク質 ,  腎不全 ,  術後合併症 ,  再手術 ,  デブリードマン ,  *急性膵炎 ,  ラクタム
準シソーラス用語： ロジスティック回帰分析 ,  臨床データ ,  予測値 , 【Automatic Indexing@JST】

著者キーワード (4件)： 急性膵炎 ,  C反応性蛋白質 ,  クレアチニン ,  アルブミン

分類 (3件)： 消化器の腫よう  (GH04000D) ,  腫ようの外科療法  (GE03033T) ,  泌尿生殖器の臨床医学一般  (GM01030E)

物質索引 (1件)： クレアチニン

引用文献 (32件)：

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• Am J Gastroenterol; Etiological and prognostic factors in human acute pancreatitis: a review; JH Ranson; 77; 1982; 633-638; citation_id=CR5

タイトルに関連する用語 (5件)： 急性膵炎 ,  クレアチニン ,  アルブミン ,  予後 ,  価値