赣南地区高脂血症性胰腺炎和胆源性胰腺炎的临床特征分析

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摘要目的通过对比分析赣南地区高脂血症性急性胰腺炎（HLAP）与急性胆源性胰腺炎（ABP）的临床特点，提高对HLAP的诊疗水平。方法选取赣南医学院第一附属医院2013年1月～2016年12月收治的189例急性胰腺炎患者，按照病因分为ABP组和HLAP组，按照病情程度分为轻症急性胰腺炎（MAP）组、中度重症和重症急性胰腺炎（MSAP+SAP）组，并比较各组间人口统计学特征及入院后生化指标的差异。结果 ABP组的平均年龄高于HLAP组，差异有统计学意义（P<0.01）；HLAP组男性比例、中重症胰腺炎比例均高于ABP组，差异有统计学意义（P<0.01）；HLAP患者TG、血糖和D-二聚体均高于ABP组，差异有统计学意义（P<0.01）；ABP组患者血淀粉酶、丙氨酸氨基转移酶（ALT）和胆红素均高于HLAP组，差异有统计学意义（P<0.01）。结论 HLAP的发病年龄较低，男性多见，且病情重，容易发展为重症胰腺炎。

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	叶艳清
	曾斌
	徐国峰
	谢云
	廖跃光

关键词 ：急性胰腺炎, 高脂血症, 胆源性, 临床特征

Abstract：Objective To compare the clinical features of patients with hyperlipidemia pancreatitis(HLAP)and patients with biliary pancreatitis(ABP)in Gannan Area,and improve the diagnosis and treatment of HLAP.Methods A retrospective analysis of 189 patients with AP from January 2013 to December 2016 in the First Affiliated Hospital of Gannan Medical College was performed.AP patients were divided into ABP group and HLAP group according to the etiology.The patients were divided into mild acute pancreatitis subgroup and moderately severe acute pancreatitis(MAP)or severe acute pancreatitis subgroup(MSAP+SAP)according to the severity classification.The differences of Demographic characteristics and biochemical indexes between two groups were compared.Results The average age of the ABP group was higher than that in the HLAP group,the difference was statistically significant(P<0.01）.The ratios of male and moderate or severe pancreatitis in HLAP group were more than that in the ABP group,the differences were statistically significant(P<0.01）.The level of TG,glucose and D-dimer in HLAP group were higher than those in the ABP group,the differences were statistically significant(P<0.01）.The plasma levels of AMS,ALT and bilirubin in ABP group were higher than those in the HLAP group,the differences were statistically significant(P<0.01）.Conclusion The hyperlipidemia pancreatitis mostly occur in lower age,and it more occur in male.The HLAP patients always more severe and easier develop to serve acute pancreatitis.

Key words： Acute pancreatitis Hyperlipidemias Biliary Clinical features

作者简介: 叶艳清（1984-），男，硕士，主治医师，研究方向：消化系病的诊断及治疗

引用本文:

叶艳清;曾斌;徐国峰;谢云;廖跃光. 赣南地区高脂血症性胰腺炎和胆源性胰腺炎的临床特征分析[J]. 中国当代医药, 2018, 25(26): 57-59.
YE Yan-qing;ZENG Bin;XU Guo-feng;XIE Yun;LIAO Yue-guang. Analysis of clinical features of patients with hyperlipidemia pancreatitis and biliary pancreatitis in Gannan Area. 中国当代医药, 2018, 25(26): 57-59.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2018/V25/I26/57

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