高脂血症对急性胰腺炎发病的影响

The influence of hyperlipemia on acute pancreatitis

目的探讨高脂血症患者血脂水平高低对急性胰腺炎(AP)发病严重程度的影响。方法从收治的136例AP中,分检出高脂血症性AP 37例,其中重症AP 11例、轻症AP 26例。比较两型血脂高低与AP发病的关系。结果轻症AP甘油三脂范围(14.13±2.14)mmol/L,重症AP甘油三脂范围(20.59±2.8)mmol/L,重症AP血脂显著高于轻症AP血脂(P<0.01)。结论血脂浓度与发病严重程度有关。AP患者病前和病中降低血脂可减少AP及重症AP的发生,也有益AP的预防及治疗。

Objective To evaluation the relationship between hyperlipemia and the incidence of acute pancreatitis. Methods 37 dyslipidemic AP patients selected from 136 AP patients were retrospectively analyzed. The lipid level in this 36 patients included 11 cases of acute severe pancreatitis（SAP） and 26 cases of mild pancreatitis was observed. Results The triglyceride range of mild AP was 14.13 5：2.24 mmol/L, and the SAP was 20. 59 ± 2.8 mmol/L. The blood lipids of SAP was significantly higher than that of mild AP （P〈0.01）. Conclusion The concentration of blood lipid is related to the severity of AP.