高脂血症和C-反应蛋白与急性胰腺炎相关性的探讨

Correlation analysis of acute pancreatitis with hyperlipemia and C-reactive protein

目的:探讨高脂血症和C-反应蛋白与急性胰腺炎的相关性。方法:总结收治的42例高脂血症急性胰脏炎(AP)患者,按诊断标准分为SAP和MAP两组,比较各自血脂和CRP及降脂治疗前后APACHE II、Ranson及CT评分。结果:SAP与MAP比较,其CRP、TG均明显增高,两者比较,差异有统计学意义(P<0.01),两者胆固醇比较,差异无统计学意义(P>0.05);42例高脂血症AP患者经降脂治疗前后APACHE II、Ranson、CT等评分比较差异有统计学意义(P<0.05)。结论:高三酰甘油血症是AP的危险因素;结合CRP可作为AP患者病情严重评价指标之一。

Objective To analyze the correlation of acute pancreatitis with hyperlipemia and C-reactive protein（CRP）.MethodThe 42 patients with acute pancreatitis with hyperlipemia were divided into two groups of SAP group and MAP group under the diagnostic code,and the lipid and CRP were compared between the two groups,also the scores of APACHE II,Ranson and CT after control lipid.ResultsThe CRP and TG in SAP group were compared with those in MAP group,showed significant difference（P0.01）,but the CHOL had no significant difference（P0.05）;the scores of APACHE II,Ranson and CT after control lipid with the 42 patients showed significant difference（P0.05）.Conclusion Hyperlipemia is one risk factor of acute pancreatitis,combined with CRP,it can be one evaluating index of the severity.