摘要
目的比较不同复发次数高脂血症性急性胰腺炎患者的临床特点,探讨院外血脂管理与病情的关系。方法纳入2015年1月至2018年9月乐山市人民医院肝胆胰外科收治的173例HLAP患者的临床资料并进行随访,根据患者复发次数的不同分为4组,比较4组的相关临床指标。结果随复发次数的增加,患者年龄呈年轻化且男性多于女性,血脂、血清淀粉酶、发热率及死亡率均呈升高的趋势,A、B两组性别、住院时间、血清淀粉酶、发热率及死亡率组间比较差异无统计学意义(P>0.05);高复发组的血脂控制不佳。结论血脂管理不善与高脂血症性胰腺炎复发率增加有关,积极早期控制血脂是预防疾病发生的核心。
Objective To compare the clinical characteristics of acute pancreatitis induced by hyperlipidemia(HLAP)with different recurrence times,and explore the relationship between the management of serum lipid outside hospital and the disease.Methods The clinical data of 173 HLAP patients admitted to the department of hepatobiliary and pancreatic surgery of leshan people's hospital from January 2015 to September 2018 were included and followed up.The patients were divided into four groups according to the number of recurrences,and the related clinical indicators of the four groups were compared.Results With the increase of recurrence times,the patients was younger and male was more than female.Blood lipid,serum amylase,fever rate and mortality rate were all increased.There was no significant difference in gender,hospitalization course,serum amylase,fever rate and mortality between groups A and B(P>0.05).Lipid control is not good in the group with higher recurrence rate.Conclusion Poor management of blood lipid is associated with increased recurrence rate of hyperlipemia pancreatitis,and active early control of blood lipid is the core of disease prevention.
作者
王清
严苹
刘宇
薛谦
乌建平
付金强
WANG Qing;YAN Ping;LIU Yu;XU Qian;WU Jianping;FU Jinqiang(Leshan People's Hospital,Leshan,Sichuan 614000,China;Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China)
出处
《大医生》
2019年第16期38-39,共2页
Doctor
关键词
复发
高脂血症
急性胰腺炎
recurrence
hyperlipidemia
acute pancreatitis
