高脂血症急性胰腺炎与血脂及C反应蛋白的相关性分析  

Correlation Analysis of Hyperlipidemic Acute Pancreatitis and Serum Lipid and C Reactive Protein

作　　者：黄两喜 林艇[1] 蔡道广 

机构地区：[1]广东省汕头市澄海区人民医院外三科,广东汕头515000

出　　处：《中国医药指南》2014年第16期41-42,共2页Guide of China Medicine

摘　　要：目的探讨高脂血症急性胰腺炎与血脂及C反应蛋白(CRP)的相关性,为临床研究提供有价值依据。方法依照诊断标准将44例高脂血症急性胰腺炎患者分成两组,分别为急性轻症胰腺炎组即MAP组与急性重症胰腺炎组即SAP组,随后对两组的血脂、C反应蛋白水平以及经降脂治疗前后的CT、Ranson系统及APACHEⅡ系统评分进行比较分析。结果 SAP组的血脂(TG)以及C反应蛋白水平较MAP组要显著升高,差异有统计学意义(P<0.05),两组胆固醇(CHOL)水平比较,差异无统计学意义(P>0.05),治疗前后比较,CT、Ranson系统及APACHEⅡ系统评分有显著统计学差异(P<0.05)。结论高血脂是急性胰腺炎的危险因素,与C反应蛋白相结合可以作为急性胰腺炎的评价指标之一,有研究价值。Objective To investigate the effect of hyperlipidemic acute pancreatitis and serum lipid and C reactive protein （CRP） correlation, and provide valuable basis for clinical study. Methods According to the diagnostic criteria of the 44 patients with hyperlipidemic acute pancreatitis were divided into two groups, respectively, mild acute pancreatitis group, MAP group and SAP group, severe acute pancreatitis group, then the serum lipid, C reactive protein levels in two groups before and after treatment as well as by lowering CT, Ranson system and APACHE II score were compared analysis. Results Serum lipids in SAP group （TG） and C reactive protein level than the MAP group increased significantly, the difference was statistically significant （P〈0.05）, two groups of cholesterol （CHOL） levels, no significant difference （P〉0.05）, before and after treatment, CT, Ranson and APACHEⅡsystem scores were significant statistical difference （P〈0.05）. Conclusion High cholesterol is a risk factor for acute pancreatitis, and C reactive protein in combination can be used as one of indexes of acute pancreatitis, research value.

关 键 词：高脂血症 急性胰腺炎 C反应蛋白 胆固醇 

分 类 号：R541.4[医药卫生—心血管疾病]