急性胰腺炎病因分析

目的：探讨急性胰腺炎患者的发病原因,为急性胰腺炎（AP）的诊治及预防提供依据。方法：对我科126例急性胰腺炎患者发病因素进行回顾性分析。结果：126倒患者的病因构成比为胆源性组35.7%,酗酒组占15.1%,饮食组（暴饮暴食）15.1%,高脂血症组占9.5%,少见原因组占1.6%,特发性组9.5%;各组年龄相比差异有统计学意义（P〈0.05）,胆源性组平均年龄要比其他组高（P〈0.05）;各组的男女比例相比差异有统计学意义,酒精组和高脂血症组患者中男性占多数（P〈0.05）。结论：胆道疾病仍是AP主要的病因,AP患者发病因素多而复杂,同性别及年龄均可能有关。轻症和重症急胰腺炎发病因素存在差异。部分患者发病原因仍不明,对于这部分患者应该尽可能寻找病因,以便采取相应防治措施,提高其治愈率,降低复发率。

Analysis on Etiology of 126 Cases with Acute Pancreatitis

Objective：To study the etiology of acute pancreatitis（AP）,and to provide references for the clinical diagnosis,relevant prevention and treatment of AP.Methods：Retrospective analysis of the etiology of AP was conducted in 126 patients.Results：The constituent ratio of etiology of the groups were biliary tract disease（35.7%）,alcoholic pancreatitis（15.1%）,binge overeating（15.1%）,hyperlipidemic acute pancreatitis（9.5%）,other infrequent reason（1.6%）,idiopathic pancreatitis（9.5%）.There was significant difference in the average ages of alI groups（P0.05）.The average age of biliary tract disease group was significantly more than other groups（P0.05）.There was significant difference in percentage of sex of all groups（P0.05）.The number of maIe patients was significantly more than the female patients in alcohol and hyperlipidemia groups（P0.05）.Conclusion：The results of the present investigation show that biliary tract disease is the main etiology ofAP,perhaps,The factor of age and sex are relative ro etiology of AP.There is difference among the pathogenic factors of mild and severe acute pancreatitis.For some patients,no specific etiology could be identified.Identification of the possible etiology and taking preventive strategies may improve the effect of disease management.