高三酰甘油血症性急性胰腺炎与胆源性急性胰腺炎的临床特征比较  

Comparison of Clinical Features of Hypertriglyceridemia Acute Pancreatitis and Biliary Acute Pancreatitis

作　　者：陈新琦 陈雅妮[1] 林志金[1] CHEN Xinqi;CHEN Ya´ni;LIN Zhijin(Department of Gastroenterology,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou,Fujian Province,362000 China)

机构地区：[1]福建医科大学附属泉州市第一医院消化内科,福建泉州362000

出　　处：《中外医疗》2023年第11期5-8,18,共5页China & Foreign Medical Treatment

摘　　要：目的对比高三酰甘油血症性急性胰腺炎(hypertriglyceridemia acute pancreatitis,HTGAP)和胆源性急性胰腺炎(biliary acute pancreatitis,BAP)的临床特征。方法回顾性分析2018年1月—2019年12月泉州市第一医院消化内科收治的373例急性胰腺炎(acute pancreatitis,AP)患者的临床资料。根据病因,将其分为两组。其中HTGAP组284例,BAP组89例。比较两组临床资料、疾病严重程度、实验室检查结果、全身及局部并发症。结果与BAP组患者相比,HTGAP组患者低龄、男性、糖尿病、脂肪肝的比率更高,白细胞、C反应蛋白、三酰甘油水平更高,差异有统计学意义(P<0.05)。HTGAP组全身并发症、局部并发症发生率(66.20%、60.92%)高于BAP组,差异有统计学意义(χ^(2)=8.095、11.521,P<0.05)。结论HTGAP组患者和BAP组患者的临床特征有着显著差异。HTGAP组患者更易发生全身及局部并发症、发展成重症AP。Objective To compare the clinical features of pancreatitis characterized by hypertriglyceridemia acute pancreatitis(HTGAP)and biliary acute pancreatitis(BAP).Methods Retrospective analysis of clinical data of 373 patients with acute pancreatitis(AP)admitted to the Gastroenterology Department of Quanzhou First Hospital from January 2018 to December 2019.According to the etiology,they were divided into two groups.Among them,there were 284 cases in the HTGAP group and 89 cases in the BAP group.Compared two sets of clinical data,disease severity,laboratory examination results,and systemic and local complications.Results Compared with patients in BAP group,younger age,the ratio of male,diabetes,fatty liver in HTGAP group were higher,and the levels of white blood cells,C-reactive protein,and triacylglycerol were higher,the difference was statistically significant(P<0.05).The incidence of systemic and local complications in the HTGAP group(66.20%,60.92%)was higher than that in the BAP group,the difference was statistically significant(χ^(2)=8.095,11.521,P<0.05).Conclusion There were significant differences in clinical features between HTGAP group and BAP group.Patients in HTGAP group are more likely to develop systemic and local complications and develop into severe AP.

关 键 词：高三酰甘油血症性急性胰腺炎 胆源性急性胰腺炎 临床特征 并发症 

分 类 号：R4[医药卫生—临床医学]