摘要
目的:探讨急性重症胰腺炎并发ARDS的危险因素,为其临床防治提供可参考依据。方法:回顾分析243例急性重症胰腺炎患者的临床资料,对发生ARDS患者应用多因素回归分析进行多因素分析。结果:243例急性重症胰腺炎患者中有54例发生ARDS,发生率为22.22%,单因素分析结果显示性别、低蛋白血症与急性重症胰腺炎并发ARDS密切相关(P<0.05),多因素分析结果显示女性(P=0.009)、低蛋白血症(P=0.000)、高甘油三酯(P=0.010)是急性重症胰腺炎发生ARDS的独立危险因素。结论:急性重症胰腺炎患者发生ARDS与性别、低蛋白血症、高甘油三酯存在密切的相关性,对有上述因素的患者进行早期防治有重要的临床意义。
Objective:To discuss the risk factors for severe acute pancreatitis patients with ARDS so as to guide the clinical prevention and treatment.Method:A total of 243 patients with severe acute pancreatitis were retrospectively analyzed,then the multivariate regression analysis was performed to those with ARDS.Result:Of 243 patients with severe acute pancreatitis,54(22.22%)developed ARDS.The result of univariate analysis indicated that the factors such as sex,hypoalbuminemia influenced the ARDS development in the severe acute pancreatitis(P0.05);The result of multivariate analysis showed that the female(P=0.009),hypoalbuminemia(P=0.000),hypertriglyceridemia(P=0.010)were the independent risk factors that influenced the ARDS development in the severe acute pancreatitis.Conclusion:The incidence of ARDS in the severe acute pancreatitis is related to the sex,hypoalbuminemia,and hypertriglyceridemia;it is of great significance to implement necessary interventions for the risk factors.
出处
《临床急诊杂志》
CAS
2014年第8期449-451,455,共4页
Journal of Clinical Emergency
基金
南京军区重点课题(NO:12Z32)