广东不同经济地区急性胰腺炎的病因及临床特征的差异  

Difference of etiology and clinical characteristics of acute pancreatitis among different economic regions of Guangdong Province

作　　者：黄耀星[1] 贾林[1] 杨琪玫[2] 杨壁辉[2] 王胜炳[3] 王丽萍[4] 

机构地区：[1]广州医学院附属市一人民医院消化内科,510180 [2]广东省汕头市中心医院消化科,515031 [3]广东省梅州市人民医院消化科,514031 [4]广东省韶关市粤北人民医院消化科,512026

出　　处：《实用医学杂志》2007年第3期351-353,共3页The Journal of Practical Medicine

摘　　要：目的:探讨广东省不同地区的急性胰腺炎(AP)病因和发病学特点。方法:回顾性分析1990-2005年间广州市第一人民医院、梅州市人民医院、汕头市中心医院、韶关市粤北人民医院2386例AP住院患者的临床资料,对AP占住院总数构成比、性别、分型、病因、预后、住院费用等变量进行统计学分析。结果:沿海地区AP患者占同期住院患者的0.33%,山区地区占0.18%(P<0.05);在2386例AP患者中,病因构成比为胆石症49.0%,酗酒10.1%,高脂血症5.2%。沿海地区胆石症比例明显高于山区地区(P<0.05),山区地区高脂血症、酒精相关AP比例高于沿海地区(P<0.05);两组在重症急性胰腺炎比例及病死率之间无显著差异。结论:沿海地区AP的发病率较高,病因以胆囊炎胆石症为主,山区高脂血症、酒精占病因比重高,但两组预后无显著差异。Objective To investigate the etiology and clinical characteristics of acute pancreatitis（AP） among different regions of Guangdong Province. Method Two thousand, three hundred and eighty-six patients with AP admitted to First Affdiated Municipal People＇s Hospital of Guangzhou, Meizhou People＇s Hospital, Shantou Central Hospital and Shaoguan Yuebei People＇s Hospital during the period of 1990-2005 were reviewed retrospectively, and analyzed statistically with regard to hospitalization constituent ratio, gender, type, etiology, prognosis and hospitalization expenses. Results Hosipitalized cases of AP in the coastal region occupied 0.33% of the total number of admissions in these hospitals, 0.18% in the inland region. The etiology of 2 386 cases of AP is cholelithiasis （49.0%）, alcoholic （10,0%）, hyperlipemia （5,2%）. The cholelithiasis ratio is obviously higher in coastal region than that in inland region （P 〈 0.05）, and while AP related to hyperlipemia and alcoholic is lower in coastal region than that in inland region （P 〈 0,05）, There was no significant difference of the ratio of sever AP and mortality between both groups. Conclusions Hospitalization constituent ratio is higher in the coastal region than that in inland region. Biliary diseases are still the primary etiology of AP in coastal region, hyperlipemia and alcoholic ratio is higher in inland region, But there is no significant difference in prognosis between both groups.

关 键 词：胰腺炎 急性病 病因 发病学 

分 类 号：R657.51[医药卫生—外科学]