急性胰腺炎与高脂血症的关系

Relationship between acute pancreatitis and hyperlipidemia

目的 分析急性胰腺炎(Acute pancreatitis,AP)与高脂血症(Hyperlipidaemia,HL )的关系。方法 选择AP患者1 4 2例作为病例组,急性胆囊炎79例、急性胃肠炎82例作为两对照组。于入院后2 4小时内行空腹血脂检查。结果 AP组HL患者5 2例(36 .6 2 %) ,HL患病率及甘油三脂(TG)水平明显高于两对照组(P<0 .0 5 ) ,总胆固醇(TC)水平明显高于急性胃肠炎组(P<0 .0 1 )。分别比较重型AP组与轻型组、AP复发组与初发组TG、TC水平,前者明显高于后者(P<0 .0 1 )。结论 HL与重型AP及AP反复发作有关。

Objective To study the relationship between acute pancreatitis (AP) and hyperlipidemia (HL). Methods There were 142 AP patients in this series and 79 acute cholecystitis,82 acute gastroenteritis as control. Fasting triglyceride(TG) and total cholesterol (TC) were tested for all the patients within 24 hours after hospitalization.Results In AP group, there were 52 HL cases. The HL percentage(36.62%)and TG level were significantly higher than those in the two control groups(P<0.05).The TC level was significantly higher than that in the acute gastroenteritis group(P<0.01). TG and TC levels were significantly higher in severe AP patients than the mild ones, so was the recurrent AP patients than the initial AP ones(P<0.01). Conclusion HL is related to severe AP and recurrent AP.