摘要
目的探讨腰围对急性胰腺炎严重程度、预后的影响。方法2002年3月至2007年10月,入选在本院消化科住院的所有急性胰腺炎患者。重症胰腺炎(SAP)患者192例,轻型胰腺炎(MAP)患者408例,分析入院时腰围与急性胰腺炎严重程度、预后的相关性。结果男、女性人群,随着腰围的增加,SAP的患病率均逐渐升高(P<0.01);全身并发症的发生率逐渐升高(P<0.01);疾病病死率也逐渐升高(P<0.01)。多元回归分析表明腹型肥胖是导致急性胰腺炎患者死亡的重要危险因素。结论腰围水平与急性胰腺炎的严重程度、预后密切相关,可作为急性胰腺炎严重程度、预后的预测指标。严格控制男性腰围小于85cm,女性腰围小于80cm,对减少重型胰腺炎的发生有着重要意义。
Objective To evaluate the effects of WC on severity and prognosis of AP. Methods 600 patients with AP in our hospital from March 2002 to October 2007 were studied restrospectely, of which 192 patients with SAP and 408 patients with MAP. Analysed the correlation between WC and the severity and prognosis of AP. Results With the rise of WC,the morbidity of SAP,incedence of serious complications and mortality were increased, too（P〈0.01）. Logistic analysis rrevealed that abdominal fat was an important dangerous factor due to the death of patients with AP. Conclusion WC may be used as a prognostic factor in patients with AP. Controlling WC to M〈85cm and W〈80cm can reduce the incedence of SAP.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第19期2482-2483,共2页
Chongqing medicine
关键词
腰围
急性胰腺炎
waist （WC）
actue pancreatitis（AP）
