中国冶金工业医学杂志

高脂血症性急性胰腺炎的临床特征分析

作者：李洪玉

分类号：R 589

出版年,卷(期):页码：2015,32(6):629-630

摘要：

摘要：目的探讨高脂血症性胰腺炎（HLAP）的临床特点，以提高对HLAP的认识及诊治水平。方法将2012年12月至2014年12月我院收治的108例急性胰腺炎患者按病因不同分为HLAP组30例和非HLAP78例，对两组患者的相关临床资料进行回顾性对比分析。结果（1）HLAP 组患者平均年龄显著小于非HLAP组，而BMI和既往有糖尿病、脂肪肝者的比例均明显高于非HLAP组，差异均有统计学意义（P＜001）。（2）HLAP组患者血及尿淀粉酶水平明显低于非HLAP组，而血清甘油三酯、总胆固醇和血糖水平则明显高于非HLAP组，差异均有统计学意义（P＜001）。（3）HLAP组患者的复发率及重症患者比例则明显高于非HLAP 组，差异有统计学意义（P＜005）。结论HLAP患者具有自身的临床特点，其临床表现不典型、并发症多、易复发，除常规治疗外关键是降低血TG水平。

关键词：高脂血症性胰腺炎；急性胰腺炎；高脂血症；甘油三酯

Abstract:ObjectiveTo investigate the clinical characteristics of patients with hyperlipidemia pancreatitis(HLAP)in order to improve the understanding of HLAP and the level of diagnosis and treatmentMethods108 patients of acute pancreatitis hospitalized in our hospital between December 2012 and December 2012 were divided into HLAP group(n=30)and non\|HLAP group(n=78),the clinical data of two groups were retrospectively analyzedResultsThe average age of the patients in HLAP group was significantly less than that in non\|HLAP group and BMI,the proportions of past diabetes and fatty liver were significantly higher than those in non\|HLAP group,the differences were statistically significant(P＜001)Serum and urine amylase level in HLAP group was significantly lower than that in non\|HLAP group,while serum triglyceride,total cholesterol and blood glucose levels were significantly higher than those in non\|HLAP group,the differences were statistically significant(P＜001)The recurrence rate and the proportion of severe patients in the HLAP group were significantly higher than those in the non\|HLAP group,the differences were statistically significant(P＜005)ConclusionHLAP has its own clinical manifestations that are atypical,complications,easy relapseIn addition to conventional treatment,reduce blood TG level is the keyKey Words:Hyperlipidemic pancreatitis;Acute pancreatitis;Hyperlipidemia;Triglycerides

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参考文献：

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