重症急性胰腺炎复发相关因素分析  

Analysis on the relative factors of recurrence of severe acute pancreatitis

作　　者：苗彬[1] 崔乃强[1] 赵二鹏[1] 李忠廉[1] 王心[1] 马涛[1] 赵光[1] 

机构地区：[1]天津医科大学南开临床学院南开医院全国胆胰疾病诊疗中心,天津300100

出　　处：《中华胰腺病杂志》2009年第3期150-152,共3页Chinese Journal of Pancreatology

基　　金：国家科技支撑计划《重症急性胰腺炎中西医结合治疗疗效评价》（2006BAI04A15）

摘　　要：目的分析重症急性胰腺炎患者（SAP）痊愈后复发的相关因素。方法随访南开医院2000年至2007年272例SAP痊愈出院病例，观察急性胰腺炎（AP）复发情况，并比较复发病例和未复发病例之间病因和临床资料的差异性。结果SAP患者出院1年内复发率为46．3％（126／272）。复发组入院时CT Balthazar评分为5．51±1．13，住院期间感染发生率为23．0％，明显高于未复发组的5．22±1．08及13．7％（P〈0．05）。而两组的原发病、Ranson评分以及APACHEⅡ评分均无显著性差异，血WBC、HCT、肝肾功能、P0，等指标也无显著性差异。结论SAP痊愈患者AP复发主要与住院期间的感染发生情况和治疗措施相关。Objective To investigated the factors predicting the recurrence of severe acute pancrcatitis （SAP） after cure. Methods 272 SAP patients from Tianjin Nankai hospital in China admitted between 2000 and 2007 were followed, the recurrence rate was observed and the predictive factors for the recurrence of SAP were evaluated on the basis of etiology and clinical data. Results The rate of one-year recurrence after discharge was 46.3% （126/272）. Compared with none-recurrence group, the Balthazar scores 5.51 ± 1.13 and the in-hospital infection rate 23.0% in the recurrence group were significantly higher 5.22 ± 1.08 and 13.7% （P 〈 0.05 ）. While the Ranson and APACHE Ⅱ score, the WBC, HCT, PaO2 level in blood, the liver and renal function were not significantly different. Conclusions Infection rate and in-hospital treatment were two prognostic factors for SAP recurrence.

关 键 词：胰腺炎 急性坏死性 复发 因素分析 统计学 病因学 

分 类 号：R576[医药卫生—消化系统]