摘要
目的探讨急性胰腺炎与高甘油三酯血症及脂肪肝之间的关系。方法将329例急性胰腺炎均进行血甘油三酯检测,并对结果进行分析。结果329例急性胰腺炎中HLP-AP(hyper lipidemic acute pancreatitis,HLP-AP)35例,占10.6%,HL-AP患者脂肪肝发病率与其它原因所致的AP相比差异有统计学意义(P<0.05);MAP(mild acute pancreatiti,MAP)组TG升高者47例,占17.02%,SAP(severe acute pancreatitis,SAP)组TG升高者41例,占77.36%,差异有统计学意义(P<0.05);SAP组同时合并高甘油三酯血症和脂肪肝的百分率高于MAP组,差异有统计学意义(P<0.05);有脂肪肝和高甘油三酯血症的患者发生急性重症胰腺炎相对危险度(RR)分别是无脂肪肝和无高甘油三酯血症的26.9倍。结论HL-AP患者常并存脂肪肝;SAP患者的高甘油三酯血症比例较MAP患者明显增高;合并有脂肪肝和高甘油三酯血症的AP患者较无脂肪肝和高甘油三酯血症的AP患者更易发生急性重症胰腺炎。
Objeeive To explore the correlation between Hyperlipidemia, Fatty liver and acute panereatitis. Methods 329 cases of acute pancreatitis have blood triglyeeride investigation, analysis of the results. Results In 329 cases of acute pancreatitis, there were 35 （ 10.6% ） HLP - AP patients out of 329 cases. There were significant difference of morbidity of the AP between HL - AP patients with fatty liver and other causes of the AP. TG increased in MAP group, 47 cases, accounting for 17.02%, TG increased in SAP group, 41cases, accounting for 77.36%, TG in SAP and MAP group were significantly different. SAP group associated with higher hypertriglyeeridemia and percentage of fatty liver than the MAP group. A fatty liver and hypertriglyceridemia patients with SAP relative risk （RR） were non - fatty liver and non - Hypertriglyceridemia of 26.9 times. Conclusion HL - AP often coexists in patients with fatty liver. It is easier for AP patients with fatty liver and hypertriglyceridemia suffer from SAP than no fatty liver and hypertriglyeeridemia AP patients.
出处
《宁夏医学杂志》
CAS
2009年第1期37-38,共2页
Ningxia Medical Journal
