体质量指数、血糖水平与急性胰腺炎相关性分析

目的探讨体质量指数、血糖水平与急性胰腺炎病情程度的关系。方法 398例急性胰腺炎患者依据病情分为重症急性胰腺炎组38例和轻症急性胰腺炎组360例,分析2组患者体质量指数、血糖水平与Ranson评分、Balthazar CT分级等的相关性。再依据体质量指数将398例患者分为肥胖组88例,超体质量组140例,体质量正常组170例,比较3组重症急性胰腺炎发病率。结果重症急性胰腺炎组入院时血糖水平、体质量指数高于轻症急性胰腺炎组（P〈0.05）;肥胖组重症急性胰腺炎发病率高于体质量正常组与超体质量组（P〈0.05）;Ranson评分≥3分、BalthazarCT分级为D或E级者体质量指数、血糖水平均高于Ranson评分〈3分者、Balthazar CT分级为A,B或C级者（P〈0.05）;血糖水平、体质量指数与Ranson评分、Balthazar CT均呈正相关（P〈0.05）。结论体质量指数、血糖水平可作为评估急性胰腺炎病情严重程度的参考指标之一。

Correlation of body mass index and plasma glucose level with acute pancreatitis

Objective To investigate the correlation of body mass index and plasma glucose level with the severity of acute pancreatitis.Methods A total of 398 cases of acute pancreatitis were divided into severe acute pancreatitis（n=38） and mild acute pancreatitis（n=360） according to the degree of pancreatitis.The correlation of body mass index and plasma glucose level with Ranson score and Balthazar CT grade were analyzed between two groups.Meanwhile these 398 cases were redivided into obesity group（n=88）,overweight group（n=140） and normal body mass group（n=170） according to the body mass index,and were compared the incidences of severe acute pancreatitis among these three groups.Results The body mass index and average plasma glucose level were higher in patients with severe acute pancreatitis than those in patients with mild acute pancreatitis（P0.05）.The incidence of severe acute pancreatitis was higher in obesity group than that in normal body weight group and overweight group（P0.05）.The body mass index and plasma glucose levels were higher in patients with Ranson score ≥3 and Balthazar CT grade of D or E than those in patient with Ranson score 3 and Balthazar CT grade of A,B or C（P0.05）.The plasma glucose level and body mass index were positively correlated with Ranson score and Balthazar CT grade.Conclusion The plasma glucose level and body mass index can be used as indexes to estimate the severity of acute pancreatitis.