CAJ | 학술논문

目的：探讨高脂血症性急性胰腺炎( HAP)和非高脂血症性急性胰腺炎的特点及临床救治效果。方法回顾分析我院在2013年1月至2013年12月收治的99例急性胰腺炎的临床资料,根据患者有无高脂血症将其分为HAP组(高脂血症患者)和对照组(无高脂血症的AP患者)；患者均接受标准化临床治疗,比较2组患者病情、血浆生化指标、治疗转归、住院时间与费用、复发等情况。结果 HAP组重度胰腺炎比例(13.6%)明显高于对照组(7.8%),HAP组血糖和尿酸均显著高于对照组,其中HAP组血糖平均值达到对照组的171%,而HAP组的血淀粉酶却仅为对照组的44.5%；HAP组1年内的复发率(13.6%)显著高对于照组(2.6%),P<0.01差异有统计学意义。结论高血脂对急性胰腺炎的病情、表现和治疗结果均有明显影响,应引起高度重视。
목적：탐토고지혈증성급성이선염( HAP)화비고지혈증성급성이선염적특점급림상구치효과。방법회고분석아원재2013년1월지2013년12월수치적99례급성이선염적림상자료,근거환자유무고지혈증장기분위HAP조(고지혈증환자)화대조조(무고지혈증적AP환자)；환자균접수표준화림상치료,비교2조환자병정、혈장생화지표、치료전귀、주원시간여비용、복발등정황。결과 HAP조중도이선염비례(13.6%)명현고우대조조(7.8%),HAP조혈당화뇨산균현저고우대조조,기중HAP조혈당평균치체도대조조적171%,이HAP조적혈정분매각부위대조조적44.5%；HAP조1년내적복발솔(13.6%)현저고대우조조(2.6%),P<0.01차이유통계학의의。결론고혈지대급성이선염적병정、표현화치료결과균유명현영향,응인기고도중시。
Objective To study the clinic characteristics and the treatment of acute pancreatitis ( AP) with and without hyperlipidemia. Methods The clinical data of 99 patients in our hospital from Jan. 2013 and Dec. 2013 were studied. Patients were divided into the hyper-lipidemic acute pancreatitis ( HAP) group and the control group ( AP without hyperlipidemia) . All the patients received standardized clinical AP treatment. The patient’ s condition, plasma biochemical index, treatment outcome, length of hospital stay, cost, and relapse were ob-served. Results The proportion of severe pancreatitis of HAP group (13. 6%) was obviously higher than that of control group (7. 8%). Blood sugar and uric acid of HAP group were significantly higher than that of control group, and the average blood sugar of HAP group reached to 171% of the control group. And the blood amylase of HAP group was only 44. 5% of that in the control group. One year recur-rence rate of HAP group (13. 6%) was significantly higher than that of control group (2. 6%) with a singnificant difference (P<0. 01). Conclusion It is suggested that hyperlipidemia condition has significant relations with the condition, performance and outcome of acute pan-creatitis.