急性非胆源性与胆源性胰腺炎的临床特点对比分析  

Comparative analysis of clinical features of non-acute biliary pancreatitis and acute biliary pancreatitis

作　　者：赵登秋[1] 邬叶锋[1] 周龙翔[1] 饶雷平[1] 

机构地区：[1]上海市第六人民医院金山分院肝胆外科,201599

出　　处：《中国综合临床》2016年第5期420-423,共4页Clinical Medicine of China

摘　　要：目的探讨急性非胆源性胰腺炎（NABP）与急性胆源性胰腺炎（ABP）的病因、临床特点和诊治经验。方法回顾性分析2004年1月至2014年12月我院肝胆外科收治152例NABP患者的临床资料，并与同期收治的206例ABP进行对比分析。结果ABP组与NABP组入院时的Ranson评分、血淀粉酶、CRP比较差异均无统计学意义（P均〉0．05）；在各类并发症中，NABP组与ABP组的肝功能不全、肾功能不全、胰性脑病的发生率分别为35．5％（54／152）和25．7％（53／206）、25．6％（39／152）和12．1％（25／206）、8．5％（13／152）和3．3％（7／206），两组比较差异均有统计学意义（X2值分别为4．01、10，89、4．41，P均〈0．05）。结论明确NABP与ABP发作的病因并针对其病因采取积极有效的治疗是减少并发症、提高治愈率的关键。Objective To explore the etiological factors, clinical characteristic and diagnosis of non- acute biliary pancreatitis （ NABP ） and acute biliary pancreatitis （ ABP ）. Methods The Clinical data of 152 patients with NABP and 206 patients with ABP from January 2004 to December 2014 in the Hepatobiliary Surgery Department of Jinshan Branch of the Sixth People＇s Hospital of Shanghai were analyzed retrospectively. Results There were no statistically significant differences in terms of the Ranson score, blood amylase and C reactive protein （CRP） between two groups （P 〉 0.05 ）. The incidences rate of hepatic insufficiency,renal insufficiency and encephalopathy were 35. 5% （ 54/152）, 25.6% （39/152） and 8. 5% （ 13/ 152） in the NABP group,and 25.7%（53/206） ,12. 1%（25/206） and 3.3%（7/206） in the ABP group,with significant difference between the two groups （ X2 = 4. 01,10. 89,4. 41 ; P 〈 0. 05 ）. Condusion The key to reduce the complications and improve the cure rate is to make clear the etiology of NABP and ABP and to take active and effective treatment for the cause of the disease.

关 键 词：急性胰腺炎 胆源性胰腺炎 RANSON评分 血淀粉酶 C反应蛋白 

分 类 号：R576[医药卫生—消化系统]