ERCP术后胰腺炎危险因素的Logistic回归分析及预防措施

目的：探讨ERCP手术后诱发胰腺炎的相关危险因素。方法整群选取2012年1月—2014年1月在该院行ERCP治疗的126例患者，其中诱发PEP患者作为观察组(63例)，术后未发生PEP者作为对照组(63例)。对ERCP术后胰腺炎危险因素进行单因素与多因素Logistic回归分析。结果单因素Logistic回归分析中，女性、胰管显影、手术操作时间(≥45 min)、﹥60岁、鼻胆管引流以及胆管支架与PEP发生存在密切关系。多因素Logistic回归分析中，胰管显影与手术操作时间≥45 min(OR值分别为13.417与6.203)为PEP危险因素。结论 ERCP术需注意手术时间、鼻胆管或支架的引流等PEP相关因素。

Logistic Regression Analysis of Risk Factors for Post-ERCP Pancreatitis and Premunition

Objective To investigate the risk factors of postoperative pancreatitis induced by ERCP. Methods Group selec-tion from January 2012 to January 2014, 126 patients with ERCP treated in our hospital were selected as the observation group (63 cases), and the control group (63 cases) did not occur after PEP. Single factor and multi factor Logistic regression analysis on the risk factors of pancreatitis after ERCP. Results Univariate logistic regression analysis, female, pancreatic duct opacification, operation time is more than or equal to 45 min), > 60 years old, nasobiliary drainage and biliary stent and PEP occurred there is a close relationship. Multivariate logistic regression analysis, the pancreas tube development and operation time is more than or equal to 45 minutes (or values were 13.417 and 6.203) for PEP risk factors. Conclusion PEP should pay attention to the operation time, the nasal biliary duct or stent drainage and other ERCP related factors.