慢性结石性胆囊炎急性发作的相关因素分析

目的探讨慢性结石性胆囊炎急性发作的危险因素。方法选择2000年-20015年在我科住院并经手术证实为胆囊结石的患者248例，分为急性发作组和常规入院组。统计两组之间的常规生化检查和糖尿病病史。结果两组在年龄、BMI、入院时血糖、血脂、电解质和肾功等指标均有显著性差异（P=0．000）。logistic回归分析发现血糖水平分组和肥胖与结石性胆囊炎急性发作显著相关（P值分别为0．021和0．044）。结论慢性结石性胆囊炎急性发作与常规组之间在生化指标上有显著差异，血糖水平分组和肥胖是慢性结石性胆囊炎急性发作的独立危险因素。

Objective To analysis influential factors about acute exacerbation of chronic calculus cholecystitis .Methods 248 patients with calculus cholecystitises confirmed by gallbladder resection were selected from 2006 to 2009 in our yard.They were divided into acute exacerbation group and control group. Clinical characteristics and medication ,such as patient＇s body weight, height, and blood glucose levels were measured. Result Two groups were significantly different about blood glucose,blood fat,and electrolyte, et al. Multivariate regression analysis showed that blood glucose level and obesity were independent predictors for acute calculous cholecystitis （P〈0.05）.Conclusions Biochemical indicators were significantly different between case group and control group. Blood glucose level and obesity can influence acute exacerbation of calculous cholecystitis （P〈0.05）.