高脂血症胰腺炎和胆源性胰腺炎发病及治疗康复分析

Comparison of diagnosis and treatment observation between hyperlipidemic acute pancreatitis and acute biliary pancreatitis

目的观察高脂血症胰腺炎和胆源性胰腺炎的发病情况对比。方法选取2010年1月～2011年3月在笔者所在医院就诊的胰腺炎患者60例,高脂血症胰腺炎(Ⅰ组)和胆源性胰腺炎(Ⅱ组)患者各30例。分别观察血清淀粉酶、甘油三酯、C反应蛋白、APACHEⅡ评分、CT严重指数、体重指数、治疗后转归及复发情况。结果Ⅰ组与Ⅱ组比较,年龄、AMY显著降低,TG、CRP显著增高,差异有统计学意义(P<0.05),LPS无显著性差异(P>0.05)。Ⅰ组与Ⅱ组比较,APACHEⅡ评分、CT严重指数、体重指数显著增高,差异有统计学意义(P<0.05)。Ⅰ组与Ⅱ组比较,重症比例、6个月内复发率显著增高,手术比例显著下降,差异有显著性(P<0.05)。结论高脂血症胰腺炎与胆源性胰腺炎患者比较,发病年龄轻,病情重,治疗后易复发,早期明确病因,对患者治疗和康复有重要意义。

Objective To observe the diagnosis and treatment observation hyperlipidemic acute pancreatitis and acute biliary pancreatitis. Methods A total of 60 patients were divided in two groups. AMY,TG,CRP,LPS,APACHE Ⅱ,CT index,Body Mass Index and treatment methods, rehabilitation were recorded. Results The hyperlipidemic acute pancreatitis were declined in age and AMY significantly（P 〈 0.05）. APACHE Ⅱ,CT index,Body Mass Index were lower in acute biliary pancreatitis patients（P 〈 0.05）.The rates of ecurernce were higher in hyperlipidemic acute pancreatitis patients（P 〈 0.05）. Conclusion A positive etiological diagnosis earlier in hyperlipidemic acute pancreatitis and acute biliary pancreatitis was important for treatment and recovery.