CAJ | 학술논문

目的：对重症高血脂症性急性胰腺炎的临床特点进行分析研究探讨。方法将整群选取该院2013年1月—2015年1月收治的95例急性胰腺炎患者按照病情分为对照组(55例胆源性急性胰腺炎合并高血脂血症患者)和观察组(40例重症高血脂症性急性胰腺炎患者)，对比两组患者的临床症状及实验室检查指标。结果两组患者在性别、年龄、SAP人数等基本资料方面差异有统计学意义(P<0.05)。观察组患者的血淀粉酶、尿淀粉酶、甘油三酯、总胆固醇水钙水平显著高于对照组，差异有统计学意义(P<0.05)。结论血淀粉酶、尿淀粉酶、甘油三酯、总胆固醇水钙水平等均为高脂血症急性胰腺炎的有效指标，可为该病的早期诊断及治疗提供可靠依据。
목적：대중증고혈지증성급성이선염적림상특점진행분석연구탐토。방법장정군선취해원2013년1월—2015년1월수치적95례급성이선염환자안조병정분위대조조(55례담원성급성이선염합병고혈지혈증환자)화관찰조(40례중증고혈지증성급성이선염환자)，대비량조환자적림상증상급실험실검사지표。결과량조환자재성별、년령、SAP인수등기본자료방면차이유통계학의의(P<0.05)。관찰조환자적혈정분매、뇨정분매、감유삼지、총담고순수개수평현저고우대조조，차이유통계학의의(P<0.05)。결론혈정분매、뇨정분매、감유삼지、총담고순수개수평등균위고지혈증급성이선염적유효지표，가위해병적조기진단급치료제공가고의거。
Objective To study the clinical features of hyperlipidemic severe acute pancreatitis. Methods 95 patients with acute pancreatitis admitted to our hospital between January 2013 and January 2015 were divided, according to different diagnostic crite-ria, into control group in which the 55 patients were suffering from biliary acute pancreatitis complicated with hyperlipidemia and observation group in which the 40 patients were suffering from hyperlipidemic severe acute pancreatitis. The clinical symptom and laboratory indexes were compared between the two groups. Results On the basic data, including gender, age and SAP etc, there were statistically significant differences between the two groups,P<0.05. The levels of blood amylase, urine amylase, triglycerides, total cholesterol and blood calcium were higher in the observation group than in the control group, and the differences were statis-tically significant, P<0.05. Conclusion The levels of blood amylase, urine amylase, triglycerides, total cholesterol and blood calci-um, as effective indicators of hyperlipidemic severe acute pancreatitis, can provides the reliable basis for its early diagnosis and treatment.