中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
27期
5-6,7
,共3页
高脂血症性急性胰腺炎%胆源性急性胰腺炎%甘油三酯%胆固醇酯
高脂血癥性急性胰腺炎%膽源性急性胰腺炎%甘油三酯%膽固醇酯
고지혈증성급성이선염%담원성급성이선염%감유삼지%담고순지
Hyperlipidemic acute pancreatitis%Acute biliary pancreatitis%Triglyceride%Cholesterol ester
目的：探讨高脂血症性急性胰腺炎的临床特征及血脂水平与病情轻重的关系。方法回顾性分析68例高脂血症性急性胰腺炎(hyperlipidemic acute pancreatitis, HLAP)患者的临床资料,与同期住院的80例胆源性急性胰腺炎(acute biliary pancreatitis, ABP)患者的临床资料作对照。结果 HLAP的甘油三酯及胆固醇水平明显高于ABP,血淀粉酶水平明显低于ABP, HLAP合并糖尿病、脂肪肝的比率及复发率均高于ABP(P<0.05)；68例HLAP患者轻症23例,重症45例,甘油三酯水平：轻症：(12.78±7.657)mmol/L,重症：(21.07±11.699)mmol/L(P<0.05)；胆固醇酯：轻症：(8.75±4.992)mmol/L,重症：(12.53±6.730)mmol/L (P<0.05)。结论与ABP相比, HLAP多见于年轻患者,易复发,病情较重,易合并基础病；血脂水平的高低与HLAP病情轻重呈正相关。
目的：探討高脂血癥性急性胰腺炎的臨床特徵及血脂水平與病情輕重的關繫。方法迴顧性分析68例高脂血癥性急性胰腺炎(hyperlipidemic acute pancreatitis, HLAP)患者的臨床資料,與同期住院的80例膽源性急性胰腺炎(acute biliary pancreatitis, ABP)患者的臨床資料作對照。結果 HLAP的甘油三酯及膽固醇水平明顯高于ABP,血澱粉酶水平明顯低于ABP, HLAP閤併糖尿病、脂肪肝的比率及複髮率均高于ABP(P<0.05)；68例HLAP患者輕癥23例,重癥45例,甘油三酯水平：輕癥：(12.78±7.657)mmol/L,重癥：(21.07±11.699)mmol/L(P<0.05)；膽固醇酯：輕癥：(8.75±4.992)mmol/L,重癥：(12.53±6.730)mmol/L (P<0.05)。結論與ABP相比, HLAP多見于年輕患者,易複髮,病情較重,易閤併基礎病；血脂水平的高低與HLAP病情輕重呈正相關。
목적：탐토고지혈증성급성이선염적림상특정급혈지수평여병정경중적관계。방법회고성분석68례고지혈증성급성이선염(hyperlipidemic acute pancreatitis, HLAP)환자적림상자료,여동기주원적80례담원성급성이선염(acute biliary pancreatitis, ABP)환자적림상자료작대조。결과 HLAP적감유삼지급담고순수평명현고우ABP,혈정분매수평명현저우ABP, HLAP합병당뇨병、지방간적비솔급복발솔균고우ABP(P<0.05)；68례HLAP환자경증23례,중증45례,감유삼지수평：경증：(12.78±7.657)mmol/L,중증：(21.07±11.699)mmol/L(P<0.05)；담고순지：경증：(8.75±4.992)mmol/L,중증：(12.53±6.730)mmol/L (P<0.05)。결론여ABP상비, HLAP다견우년경환자,역복발,병정교중,역합병기출병；혈지수평적고저여HLAP병정경중정정상관。
Objective To investigate the clinical feature of hyperlipidemic acute pancreatitis and the relationship between serum lipid level and severity of hyperlipidemic acute pancreatitis. Methods The clinical data of 68 patients with hyperlipidemic acute pancreatitis (HLAP) and 80 patients with acute biliary pancreatitis (ABP) were retrospectively analyzed and compared. Results The level of triglyceride (TG) and cholesterol ester (CHO) of HLAP were significantly higher than those of ABP. The level of blood amylase in HLAP was lower than ABP. Recurrence incidence and incidence of diabetes and fatty liver of HLAP were higher than ABP (P<0.05). Among the 68 cases of HLAP, there were 23 mild cases (MAP) and 45 severe cases (SAP). The TG level of MAP was (12.78±7.657) mmol/L, and that of SAP was (21.07±11.699) mmol/L (P<0.05). The CHO level of MAP was (8.75±4.992) mmol/L, and that of SAP was (12.53±6.730) mmol/L (P<0.05). Conclusion Compared with patients with ABP, patients with HLAP are younger, and they are easier to have other diseases. The patients with HLAP are more severe and have a higher recurrence rate. There is a positive correlation between serum lipids and HLAP.
