重症急性胰腺炎早期胰腺感染的相关因素分析

The Pancreatic Infection in Severe Acute Pancreatitis in Early Stage Analysis of the Related Factors

目的:探讨重症急性胰腺炎早期胰腺感染的危险因素。方法:收集符合标准的患者92例,根据胰腺感染的诊断标准分为感染组和非感染组,分析比较二组的一般资料、临床症状、辅助检查指标和其他相关因素。结果:两组患者在APACHEⅡ评分、Ranson评分、腹部CT诊断胰腺坏死类型、血Ca2+水平,以及胃肠道障碍时间、低氧血症、肾功能衰竭和呼吸机使用率等方面比较,差异均存在统计学意义(P<0.05),经多因素回归分析,上述指标是重症急性胰腺炎继发感染的危险因素(P<0.05)。结论:当重症急性胰腺炎患者入院和治疗过程中存在高危因素时,应高度警惕发生继发感染的可能,并积极采取预防措施。

Objective： To investigate the risk factors of early pancreatic infection in severe acute pancreatitis.Method： After treatment,according to the diagnosis of pancreatic infection standard,92 cases were divided into infected groups and not infected group,and analyed the general material,the clinical symptoms,the auxiliary examination index and other related factors.Result： The two groups of patients in the APACHE II score,Ranson score,CT diagnosis of abdominal type of pancreatic necrosis,blood Ca2＋ levels,and gastrointestinal disorders,hypoxemia,renal failure and ventilator using rate etc,there were statistically significant differences（P 0.05）,By multiple factor regression analysis,the above index is severe acute pancreatitis secondary infection risk factors（P 0.05）.Conclusion：When there is a high-risk factors in patients on admission and treatment process should be highly alert to the possibility of secondary infection occurs,and to actively take preventive measures.