目的 建立专业的急性胰腺炎(AP)数据库,并运用于AP的临床和科研研究.方法 从美国疾病预防控制中心(CDC)网站免费下载Epi Info 7软件,按照2012版亚特兰大急性胰腺炎分类和中国急性胰腺炎诊治指南(2013,上海)的标准,经南昌大学第一附属医院消化内科专家讨论制定收集的数据内容建立AP数据库.结果 建立的AP数据库包括基本信息、病史资料、体格检查、实验室检查、影像学检查、内科治疗、干预措施、并发症、病情评估与预后等15个页面和1个出院随访页面,共设置了1133个字段.数据库具有自动计算CT严重指数(CTSI)、改良的CT严重指数(MCTSI)、SIRS及Marshall、APACHEⅡ、Ranson、BISAP评分分值,自动诊断短暂性和持续性器官衰竭,自动诊断轻度急性胰腺炎(MAP)、中度急性胰腺炎(MSAP)和重度急性胰腺炎(SAP)等功能,还具有数据查询、数据导入与交换、自动计算数据、自检错误与缺失数据、数据统计分析等功能.2011年1月1日至2012年12月31日已收集了南昌大学第一附属医院1087例AP住院患者的临床数据.结论 利用Epi info 7软件成功建立了专业的AP数据库,使用简单、界面友好、成本低廉,在AP临床和科研研究中具有很高的应用价值.
Objective To establish a professional acute pancreatitis database,which can be applied for clinical and scientific research.Methods Epi Info7 software was freely downloaded from the Centers for Disease Control and Prevention (CDC) of United States.According to the revised 2012 Atlanta classification of acute pancreatitis and Chinese national guideline for acute pancreatitis (2013,Shanghai),and experts of Department of Gastroenterology,The First Affiliated Hospital of Nanchang University reached a consensus to establish the acute pancreatitis database.Results Acute pancreatitis database includes 15 pages on basic information,medical history,physical examination,laboratory tests,radiology examination,medical treatment,interventions,complications,severity and prognosis,and 1 page for follow-up data.Overall 1133 field was set up.The database could automatically calculate CTSI,MCTSI,SIRS,Marshall,APACHE Ⅱ,Ranson and BISAP score,and automatically diagnose transient and persistent organ failure,MAP,MSAP and SAP; and data query,data import and exchange; data statistical analysis functions were incorporated.The database had collected clinical data of 1087 patients with AP in our hospital from January 1st 2011 to December 31st 2012.Conclusions An acute pancreatitis database is successfully established by Epi Info7 software.The database is simple,friendly,inexpensive and helpful for clinical research of AP.