摘要
目的探讨高脂血症(HL)与急性胰腺炎(AP)的关系及对预后的影响。方法收集急性高脂血症性胰腺炎(AHP)患者78例,急性胆源性胰腺炎(ABP)患者50例,比较二者的血脂水平、并发症发生情况及转归,并根据Bathazar CT严重指数积分(CTSI)将AHP患者分为≤3分(n=25)、4~5分(n=26)、>6分(n=27),分析TG水平与Balthazar-CTSI评分的相关性。结果 AHP组的TG、TC水平明显高于ABP组(P<0.05),两组LDL-C、HDL-C水平比较,无明显差异(P>0.05)。TG水平随着BalthazarCTSI评分增加而增加,二者呈正相关(P<0.05)。AHP组并发症总发生率显著高于ABP组(P<0.05),两组死亡率比较,无明显差异(P>0.05)。结论 HL尤其是高TG密切影响着急性胰腺炎患者的病情程度及转归。
Objective To investigate the relationship between hyperlipidemia(HL)and acute pancreatitis(AP)and its influence on prognosis.Methods Seventy-eight patients with acute hyperlipidemic pancreatitis(AHP)and 50 patients with acute biliary pancreatitis(ABP)were selected.The blood lipid levels,complications and prognosis were compared between the two groups.All the patients were divided into臆3 scores group(n=25),4-5 scores group(n=26),>6 scores group(n=27)according to the score of the Bathazar CT severity index(CTSI).The relationship between TG level and Balthazar-CTSI score was analyzed.Results The levels of TG and TC in the AHP group were significantly higher than those in the ABP group(P<0.05).There was no significant difference between the two groups in the levels of LDL-C and HDL-C(P>0.05).The level of TG increased with the increase of Balthazar-CTSI score,and there was a positive correlation between the two groups(P<0.05).The total incidence of complications in the AHP group were higher than that in the ABP group(P<0.05).There was no significant difference in mortality between the two groups(P>0.05).Conclusion Hyperlipidemia,especially high TG,closely influences the severity and prognosis of patients with acute pancreatitis.
作者
朱学进
ZHU Xue-jin(the People's Hospital of Lueyang County,Hanzhong 724300,China)
出处
《临床医学研究与实践》
2018年第9期48-49,共2页
Clinical Research and Practice
