急性胰腺炎与体重指数及血糖水平的关系研究

Study on the relation of body mass index and blood sugar level with acute Pancreatitis

【目的】探讨急性胰腺炎(AP)与体重指数(BMI)及血糖水平的关系。【方法】选取2006年1月-2009年1月间在我院住院治疗的AP患者199例进行前瞻性研究,观察AP与BMI以及血糖水平的相关性。【结果】SAP组并发症发生率明显高于MAP组(P<0.05)。MAP组中BMI正常者明显多于SAP组,肥胖者明显少于SAP组(P<0.05)。入院时血糖水平SAP组明显高于MAO组(P<0.05)。SAP组为26.32%;MAP组中肥胖者明显少于SAP组,两者比较差异均有统计学意义(P<0.05)。Ranson评分、Balthazar CT分级及CTSI评分与BMI、血糖水平具有显著的相关性。【结论】BMI和血糖水平与AP有着密切的相关性,可以作为该病预后的参考指标。

[Objective] To invesgate the relation of body mass index（BMI）and blood sugar level with acute pancreatitis（AP）.[Methods]199 cases of acute pancreatitis in our hospital from January in 2006 to January in 2008 were studied perspectively,and correlation of mass index and blood sugar level with acute pancreatitis were observed.[Results]The incidence rate of complication was 12.22% in MAP group and was 94.73% in SAP group,the death rate was 0.56% in MAP group and was26.32% in SAP group,the cases with obesity in MAP group were fewer than those in SAP group,and there was significent difference between two group（P0.05）.The blood sugar level was（8.21±2.04）mmol/L in MAP group and was（13.70±2.16）mmol/L in SAP group,there were 14 cases（7.78%）with diabetes in MAP group and 10 cases（52.63%）with diabetes in SAP group,and there were significent differences between two group（P0.05）.The scores of Ranson and CTSI,grading of Balthazar CT were correlative with body mass index and blood sugar level.[Conclusions]The body mass index and blood sugar level were correlative with acute pancreatitis obviously,which can be regarded as index of prognosis.