高甘油三酯血症与急性胰腺炎

目的探讨高甘油三酯血症在急性胰腺炎病情评价与预后中的作用。方法2003-01/12四川大学华西医院收治了各种原因的急性胰腺炎283例,其中急性胰腺炎合并高脂血症性72例,其他原因所致胰腺炎211例;进行ranson评分、住院天数比较和病死率的比较。结果急性胰腺炎患者血甘油三酯异常升高(TG>3.6mmol/L)占25.4%。其中TG>11.3mmol/L的患者为6.3%。其他原因所致的胰腺炎占74.6%。急性胰腺炎是否合并高脂血症在病情程度(选择ranson评分)和平均住院天数上分别为4.76±1.87,4.32±1.88;25.75±16.7,27.27±20.42,2者比较差异无统计学意义(P>0.05)。不同程度高脂血症的胰腺炎患者在病情程度和平均住院天数分别4.8±2.0,4.67±1.41,26.26±17.05,24.2±15.53,2者比较差异亦没有统计学意义(P>0.05)。2组间病死率亦无明显差别。结论高脂血症性急性胰腺炎临床经过和预后与其他原因的胰腺炎无显著差异,血脂高低与病死率无明显相关性。

Effect of hyperlipidemia in evaluation of acute pancreatitis

Objective To analyse the effect of hyperlipidemia in acute pancreatitis.Methods 283 cases with acute pancreatitis were devided into 2 groups based on the lipidemic level in blood.The ranson score,date of hospitality and mortality were compared.Results There are 25.4% of actue pancreatitis with hyperlipidemia(TG>3.6mmol/L)and 6.3%(TG>11.3mmol/L).There were no significant difference in ranson score and hospitality date in acute pancreatitis with or without hyperlipidemia(P>0.05),also did in different level of hyperlipidemia.Conclusion the hyperlipidemia of acute pancreatitis shows no significant difference to others in the clinic prossess and prognosis,and there are no significant relations between lipidemic level and mortality.