高脂血症胰腺炎与胆源性胰腺炎发病研究及治疗康复效果分析

Study on the Pathogenesis, Treatment and Rehabilitation Effect of Hyperlipidemic Pancreatitis and Biliary Pancreatitis

目的分析高脂血症胰腺炎与胆源性胰腺炎发病研究及治疗康复效果。方法选择2014年6月—2017年6月于该院就诊的70例胰腺炎患者,其中35例高脂血症胰腺炎为观察组,35例胆源性胰腺炎为对照组,对两组患者的发病情况进行客观的分析,并比较康复治疗的效果。结果观察组的AMY明显低于对照组,但TG和CRP明显较高,差异有统计学意义(P<0.05);LPS经过比较,差异无统计学意义(P>0.05);观察组的APACHE评分、CT严重指数和体重指数均比对照组高,且重症患者较多、手术患者较少,6个月内的复发率高,差异有统计学意义(P<0.05)。结论与胆源性胰腺炎相比,高脂血症胰腺炎的病情较为严重,临床复发率高,早期如果可以将病因明确下来,有助于患者早日康复。

Objective To analyze the effect of hyperlipidemia pancreatitis and pancreatitis research and treatment and rehabilitation of hyperlipidemia. Methods 70 cases of pancreatitis, From June 2014 to June 2017 in our hospital, including 35 cases of hyperlipidemia pancreatitis as observation group, 35 cases of biliary pancreatitis as the control group, the objective analysis of the incidence of the two groups of patients, and compare the effect of rehabilitation treatment. Results The group of AMY was significantly lower than the control group, but TG and CRP were significantly higher, the difference was statistically significant(P< 0.05); LPS after comparison, no significant difference was statistically significant(P>0.05); the APACHE score in the observation group, CT severity index and body mass index were higher than the control group, and the more severe patients, fewer patients, within 6 months of the high recurrence rate, with statistical significance(P<0.05). Conclusion Compared with biliary pancreatitis, hyperlipidemia pancreatitis the condition is more serious, the clinical recurrence rate is high, can cause early if clear down, can help patients recover soon.