中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
6期
812-814
,共3页
胰腺炎%感染%危险因素
胰腺炎%感染%危險因素
이선염%감염%위험인소
Pancreatis%Infection%Risk factors
目的 探讨重症急性胰腺炎(SAp)早期并发胰腺感染的相关因素.方法 113例SAP患者根据是否合并胰腺感染分为SAP组(44例)与感染组(69例),分析两组18项可能的相关因素差异,探讨其危险因素.结果 经过对18个因素的对比分析发现,性别、年龄、血淀粉酶、血糖、天冬氨酸氨基转移酶、丙氨酸氨基转氨酶、血钙、C反应蛋白、机械通气等因素在两组之间差异均无统计学意义(均P ＞0.05)；两组在SAP的致病原因、APACHE-Ⅱ评分、Ranson评分、CT Balthazar分级、血清白蛋白、血肌酐、血尿素氮、中心静脉插管时间、质子泵抑制剂应用时间等因素差异均有统计学意义(t=16.0496、3.9607、8.3717、8.5124、13.8177、7.0316、6.1870、5.4527、3.8548,均P＜0.01).结论 胆源性SAP、APACHE-Ⅱ评分、Ranson评分及CT Balthazar分级较高、血清白蛋白较低、血肌酐及尿素氮指标较高、静脉插管时间及质子泵抑制剂应用时间较长等是SAP患者并发胰腺感染的危险因素.
目的 探討重癥急性胰腺炎(SAp)早期併髮胰腺感染的相關因素.方法 113例SAP患者根據是否閤併胰腺感染分為SAP組(44例)與感染組(69例),分析兩組18項可能的相關因素差異,探討其危險因素.結果 經過對18箇因素的對比分析髮現,性彆、年齡、血澱粉酶、血糖、天鼕氨痠氨基轉移酶、丙氨痠氨基轉氨酶、血鈣、C反應蛋白、機械通氣等因素在兩組之間差異均無統計學意義(均P ＞0.05)；兩組在SAP的緻病原因、APACHE-Ⅱ評分、Ranson評分、CT Balthazar分級、血清白蛋白、血肌酐、血尿素氮、中心靜脈插管時間、質子泵抑製劑應用時間等因素差異均有統計學意義(t=16.0496、3.9607、8.3717、8.5124、13.8177、7.0316、6.1870、5.4527、3.8548,均P＜0.01).結論 膽源性SAP、APACHE-Ⅱ評分、Ranson評分及CT Balthazar分級較高、血清白蛋白較低、血肌酐及尿素氮指標較高、靜脈插管時間及質子泵抑製劑應用時間較長等是SAP患者併髮胰腺感染的危險因素.
목적 탐토중증급성이선염(SAp)조기병발이선감염적상관인소.방법 113례SAP환자근거시부합병이선감염분위SAP조(44례)여감염조(69례),분석량조18항가능적상관인소차이,탐토기위험인소.결과 경과대18개인소적대비분석발현,성별、년령、혈정분매、혈당、천동안산안기전이매、병안산안기전안매、혈개、C반응단백、궤계통기등인소재량조지간차이균무통계학의의(균P ＞0.05)；량조재SAP적치병원인、APACHE-Ⅱ평분、Ranson평분、CT Balthazar분급、혈청백단백、혈기항、혈뇨소담、중심정맥삽관시간、질자빙억제제응용시간등인소차이균유통계학의의(t=16.0496、3.9607、8.3717、8.5124、13.8177、7.0316、6.1870、5.4527、3.8548,균P＜0.01).결론 담원성SAP、APACHE-Ⅱ평분、Ranson평분급CT Balthazar분급교고、혈청백단백교저、혈기항급뇨소담지표교고、정맥삽관시간급질자빙억제제응용시간교장등시SAP환자병발이선감염적위험인소.
Objective To study the related factors of pancreatic infection in patients with severe acute pancereatitis(SAP).Methods 113 patients with SAP were divided into the SAP group and the infected group,and 18 factors were contrasted between the two groups.Results There were 44 patients in the SAP group and 69 patients in the infected group,There was no significant difference in gender,age,hemodiastase,blood glucose,AST,ALT,blood calcium,CRP,and mechanical ventilation between the two groups (P ＞ 0.05).But thwre were significant differences in nosogenesis,APACHE-Ⅱ score,Ranson score,CT Balthazar grading,serum albumin,Cr,BUN,central venous catheter time,and PPI application time(t =16.0496,3.9607,8.3717,8.5124,13.8177,7.0316,6.187,5.4527,3.8548,all P ＜ 0.01).Conclusion Biliary SAP,higher APACHE-Ⅱ score,higher Ranson score,higher CT Balthazar grading,lower serum albumin,higher Cr,higher BUN,longer central venous catheter time,longer PPI application time can increase the pancreatic infection rates in patients with SAP.
