高脂血症性胰腺炎与胆源性胰腺炎的临床特征比较

目的：比较高脂血症性胰腺炎与胆源性胰腺炎的临床特征,提高对高脂血症性胰腺炎的认识,为临床诊治高脂血症性胰腺炎提供依据。方法整群选取2013年12月—2015年11月该院收治的39例高脂血症性胰腺炎为观察组,75例胆源性胰腺炎为对照组。回顾性对照分析两组患者的临床资料,记录患者的年龄、性别、BMI、血AMS、AST、TG、TC、CRP、Ranson评分、CTSI评分。结果2组患者的性别之间差异无统计学意义(χ2=0.014,P>0.05),高脂血症性胰腺炎组患者的年龄、血AMS和AST显著低于对照组(t=-11.134、-6.837、-9.521,P<0.05)； BMI、Ranson评分、CTSI评分、TG、TC、CRP均明显高于对照组(t=9.254、16.044、10.767、22.024、23.787、8.754, P<0.05),差异均有统计学意义。结论高脂血症性胰腺炎的发病年龄较低、患者多较肥胖,血脂和炎性因子水平均较胆源性胰腺炎明显升高,且病情严重,临床上易发展为急性重症胰腺炎。

Comparison of Clinical Features of Patients with Hyperlipidemia Pancreati-tis and Biliary Pancreatitis

Objective To compare the clinical featuresof patients with hyperlipidemia pancreatitis and biliary pancreatitis, so as to understanding well of hyperlipidemia pancreatitis and to provide the evidences of the clinical diagnosis and treat-ment in hyperlipidemia pancreatitis.Methods Group selection 39 hyperlipidemia pancreatitis patients in the observed group and 75 biliary pancreatitis patients in the control group during December 2013 to November 2015 in the Second Hospital of Fuzhou. The age, gender, BMI and plasma AMS, AST, TG, TC, CPR level, Ranson score and CTSI scoreof both groups were recordedand comparative analyzed.Results There were no significantly different in gender between two groups(χ2=0.014,P>0.05).The age, plasma AMS and AST level in the hyperlipidemia pancreatitis group were significantly lower than those in the control group (t=-11.134、-6.837、-9.521,P<0.05). And BMI, Ranson score, CTSI score, plasma TG, TC and CRP level were significantly higher than those in the control group(t=9.254、16.044、10.767、22.024、23.787、8.754, P<0.05)the differ-ent was statistically significantly. The difference was statistically srqnificant. Conclusion The hyperlipidemia pancreatitis mostly occurs in lower age, more obesity,higher blood lipid and inflammatory factor levels than biliary pancreatitis, and more severe and easier developing to sever acute pancreatitis.