高脂血症及CT严重指数与非胆道性急性胰腺炎发热的关系探讨  

Relationship between hyperlipidemia and CT severity index and fever in non biliary acute pancreatitis

作　　者：钟汉 危伸 谢典 ZHONG Han;WEI Shen;XIE Dian(Ruijin General Hospital/Ruijin People's Hospital,Ruijin,Jiangxi,342500,China)

机构地区：[1]瑞金市总医院/瑞金市人民医院,江西瑞金342500

出　　处：《当代医学》2024年第10期121-124,共4页Contemporary Medicine

摘　　要：目的探讨高脂血症及CT严重指数(CTSI)与非胆道性急性胰腺炎(AP)发热的关系。方法回顾性分析2020年6月至2022年6月瑞金市总医院收治的88例非胆道性AP发热患者的临床资料,按照临床表现、是否伴有高脂血症及CTSI评分分为轻症组(n=65)与重症组(n=23)。比较两组高脂血症、CTSI分级情况、甘油三酯(TG)水平、住院时间及并发症发生率;比较伴高脂血症与不伴高脂血症患者、不同CT-SI分级患者TG水平、住院时间及并发症发生率。结果轻症组伴高脂血症者占比为46.15%,明显低于重症组的82.61%,CTSI分级优于重症组,差异有统计学意义(P<0.05)。伴高脂血症患者CTSI评分、并发症发生率均高于不伴高脂血症患者,住院时间长于不伴高脂血症患者,差异有统计学意义(P<0.05)。轻度患者TG水平高于中度、重度患者,住院时间短于中度、重度患者,并发症发生率低于重度患者,且中度患者TG水平低于重度患者,住院时间短于重度患者,差异有统计学意义(P<0.05);轻度与中度并发症发生率比较差异无统计学意义。轻症组TG水平、CTSI评分、并发症发生率均低于重症组,住院时间短于重症组,差异有统计学意义(P<0.05)。Pearson分析结果显示,非胆道性AP发热患者血TG水平与CTSI评分呈正相关(r=0.471,P=0.028)。结论高脂血症及CT严重指数与非胆道性急性胰腺炎发热密切相关,可用于指导患者临床治疗,评估预后。Objective To explore the relationship between hyperlipidemia,CT severity index(CTSI)and fever in non biliary acute pancreatitis(AP).Method The clinical data of 88 patients with non biliary AP fever admitted to Ruijin General Hospital from June 2020 to June 2022 were retrospectively analyzed,they were divided into the mild group(n=65)and the severe group(n=23)based on clinical manifestations,presence of hyperlipidemia,and CTSI score.The hyperlipidemia,CTSI grading,triglyceride(TG)level,hospitalization time and complication rate were compared between the two groups;the TG level,hospitalization time and complication rate were compared between patients with hyperlipidemia and those without hyperlipidemia,and patients with different CTSI grades.Results The proportion of patients with hyperlipidemia in the mild group was 46.15%,which was lower than 82.61%in the severe group,the CTSI grading was better than that in the severe group,and the differences were statistically significant(P<0.05).The CTSI score and incidence of complications in patients with hyperlipidemia were higher than those in the patients without hyperlipidemia,and the hospitalization time was longer than that in the patients without hyperlipidemia,and the differences were statistically significant(P<0.05).The TG level of mild patients was higher than that of moderate and severe patients,the hospitalization time was shorter than that of moderate and severe patients,the incidence of complications in mild patients was lower than that of severe patients,and the TG level of moderate patients was lower than that of severe patients,the hospitalization time was shorter than that of severe patients,the differences were statistically significant(P<0.05);there was no significant difference in the incidence of mild and moderate complications.The TG level,CTSI score and incidence of complications in the mild group were lower than those in the severe group,and the hospitalization time was shorter than that in the severe group,the differences were statistically signif

关 键 词：急性胰腺炎 非胆道性 高脂血症 CT严重指数 

分 类 号：R576[医药卫生—消化系统]