中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
4期
526-528
,共3页
胰腺炎%危险因素%预后
胰腺炎%危險因素%預後
이선염%위험인소%예후
Pancreatitis%Risk factors%Prognosis
目的 分析重症急性胰腺炎(SAP)的病因及预后,为防治急性胰腺炎提供依据.方法 回顾性分析113例SAP的病因、性别、年龄、住院天数以及预后情况.结果 113例SAP中,胆源性36例(31.88％)、酒精性48例(42.48％)、特发性10例(8.85％)、高脂血症性13例(11.50％)、混合性6例(8.31％).男∶女=2.65∶1,差异有统计学意义(x2=41.4968,P＜0.01).各类患者年龄分别为:(61.89±11.32)、(45.73±9.70)、(45.20±10.92)、(53.23±8.52)、(56.27±8.53)岁,差异有统计学意义(F=14.6,P＜0.01)；各类患者住院天数分别为:(21.11±11.50)、(19.54±16.57)、(16.00±5.19)、(21.61±8.02)、(10.83 ±9.64)d,差异无统计学意义(P＞0.05)；各组的治愈好转率及病死率之间差异均无统计学意义(均P＞0.05).结论 SAP病因大部分为胆源性及酒精性,而以酒精性为最多；胆源性SAP多为老年患者,酒精性、特发性、高脂血症性SAP患者多为中青年.尽管差异不明显,但酒精性及混合性SAP病死率较高.
目的 分析重癥急性胰腺炎(SAP)的病因及預後,為防治急性胰腺炎提供依據.方法 迴顧性分析113例SAP的病因、性彆、年齡、住院天數以及預後情況.結果 113例SAP中,膽源性36例(31.88％)、酒精性48例(42.48％)、特髮性10例(8.85％)、高脂血癥性13例(11.50％)、混閤性6例(8.31％).男∶女=2.65∶1,差異有統計學意義(x2=41.4968,P＜0.01).各類患者年齡分彆為:(61.89±11.32)、(45.73±9.70)、(45.20±10.92)、(53.23±8.52)、(56.27±8.53)歲,差異有統計學意義(F=14.6,P＜0.01)；各類患者住院天數分彆為:(21.11±11.50)、(19.54±16.57)、(16.00±5.19)、(21.61±8.02)、(10.83 ±9.64)d,差異無統計學意義(P＞0.05)；各組的治愈好轉率及病死率之間差異均無統計學意義(均P＞0.05).結論 SAP病因大部分為膽源性及酒精性,而以酒精性為最多；膽源性SAP多為老年患者,酒精性、特髮性、高脂血癥性SAP患者多為中青年.儘管差異不明顯,但酒精性及混閤性SAP病死率較高.
목적 분석중증급성이선염(SAP)적병인급예후,위방치급성이선염제공의거.방법 회고성분석113례SAP적병인、성별、년령、주원천수이급예후정황.결과 113례SAP중,담원성36례(31.88％)、주정성48례(42.48％)、특발성10례(8.85％)、고지혈증성13례(11.50％)、혼합성6례(8.31％).남∶녀=2.65∶1,차이유통계학의의(x2=41.4968,P＜0.01).각류환자년령분별위:(61.89±11.32)、(45.73±9.70)、(45.20±10.92)、(53.23±8.52)、(56.27±8.53)세,차이유통계학의의(F=14.6,P＜0.01)；각류환자주원천수분별위:(21.11±11.50)、(19.54±16.57)、(16.00±5.19)、(21.61±8.02)、(10.83 ±9.64)d,차이무통계학의의(P＞0.05)；각조적치유호전솔급병사솔지간차이균무통계학의의(균P＞0.05).결론 SAP병인대부분위담원성급주정성,이이주정성위최다；담원성SAP다위노년환자,주정성、특발성、고지혈증성SAP환자다위중청년.진관차이불명현,단주정성급혼합성SAP병사솔교고.
Objective To better understand the causes and prognosis of severe acute pancreatitis (SAP).Methods The cause,gender,age,length of hospital stay and prognosis were retrospectively analyzed in the data of 113 hospitalized patients from January 2004 to August 2010.Results The causes of 113 patients were biliary(31.88％ ),alcoholic(42.48％ ),idiopathic(8.85％ ),hyperlipidemic( 11.5％ ) and mixed(8.31％ ).The rate of male/female was 2.65/1 ( P ＜ 0.01 ).The mean age of patients with biliary,acoholic,idiopathic,hyperlipidemic and mixed acute pancreatitis were 61.89 ± 11.32,45.73 ± 9.70,45.20 ± 10.92,53.23 ± 8.52,56.27 ± 8.53 years,.respectively ( P =0.000).The length of hospital stay of these groups were 21.11 ± 11.50,19.54 ± 16.57,16.00 ± 5.19,21.61 ±8.02,10.83 ± 9.64 days,respectively ( P =0.396).There were not significant differences about cure rate and mortality among groups( P ＞0.05 ).Conclusion The majority causes of SAP were biliary and alcoholic,and the acohol was the most cause.Biliary SAP was highest in older patients,whereas acoholic,idiopathic and hyperlipidemic SAP were highest in young patients.Although the difference was not statistically significant,the mortality of acoholic and mixed SAP were higher.
