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《Chongqing Medicine》 2017-04
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The value of hydrogen sulfide in estimating the severity of acute pancreatitis

Jia Linping;Lu Housheng;Wang Dan;Shen Zhouli;Xu Maotao;Yuan Xiaoying;Yang Guang;Department of Gastroenterology,Ninth People′s Hospital of Chongqing city;  
Objective To explore the value of hydrogen sulfide(H2S)in the evaluation of severity of acute pancreatitis(AP).Methods Fifty-one patients with AP from February 2013 to December 2015 in this hospital were divided into severe acute pancreatitis(SAP,n=21)group and mild acute pancreatitis(MAP,n=30)group.Thirty-six non-pancreatitis abdominal patients and 9healthy persons(NC)were chosen as compare groups.The peripheral venous blood samples from the four groups and the Ranson Score of AP group were obtained after admission,the venous blood samples of 12 h,24h,48 hof AP group were also obtained.Blood samples were used to detect the concentrations of hydrogen sulfide with ELISA method.We compared the concentrations of H2 S between the four groups with one-way ANOVA,and post hoc;compared the differences of concentrations of H2 S in AP group between after admission,12 h,24hand 48 hwith repeated measures data ANOVA;and explored the relationship between the concentrations of H2 S after admission and the Ranson scores in AP group with Spearman correlation analysis.Results The concentrations of H2 S was significant higher in SAP group than MAP,abdominal,and NC group(P=0.000);the concentrations of H2 S was also significant higher in MAP group than abdominal,and NC group(P=0.000);there is no significant difference between the abdominal and NC group(P=0.131).There is significant difference of H2 S concentrations between the four times in AP group(P=0.000),decreasing gradually over time.The H2 S concentrations in AP group after admission was significantly related with their Ranson scores(r=0.578,P=0.000).Conclusion There is certain value of the concentrations of H2 S in the diagnosis of AP,the higher H2 S level suggests the higher severity of the patients with acute pancreatitis.
【CateGory Index】: R576
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