摘要
目的：研究年龄同素对急性胰腺炎的病理类型及预后的影响。方法：采用Blamey多指标预测评分体系，对319例急性胰腺炎按年龄≤55和＞55岁分组，结合经外科、CT或腹穿证实的坏死型和水肿型胰腺炎统计分析．结果：＞55岁组的坏死型急性胰腺炎的比率与Blamey指标的积分均高于＜55岁组；计数相关及直线相关分析均示年龄与急性坏死性胰腺炎呈正相关（rn＝0．33，P＜0．005；r＝0．57，P＜0．001）；＞55岁组中与急性胰腺炎有关的9种发病因素中，胆石症及高脂血症多于≤55岁组；92例坏死型胰腺炎10种106次并发症中，88例次（83％）分布于＞55岁者；死亡32例中，27例（84％）年龄＞55岁；8种年龄界值的判别价值示＞55岁及＞60岁二者对坏死型的敏感性、特异性和预测准确性较高。结论：取值＞55岁作为急性胰腺炎的高危指标单独或列入一个预测体系较为合理。
Objective: To investigate the influence of age on the pathological types and prognosis of acute pancreatitis. Method: Blamey's multifactorial prognostic scoring system was employed in 319 patients with acute pancreatitis grouped according to their ages (≤55, ＞55) andanalysed statistically on the basis of pathological types (necrotizing or edematous) confirmed bysurgery, computered tomography or peritoneal punctures. Results: Both the numbers of acute necrotizing pancreatitis (ANP) and scores of Blamey's system were higher in＞55 group than in ≤55 group; positive correlations (rn=0.33, P＜0.005; r=0.57, P＜0.001) were found between the age and ANP either in enumeration or in rectilinear correlation analysis; among the conditions associated with acute pancreatitis, incidence of cholelithiasis and hyperlipidemia were higher in ＞55 than in≤55 group; of the 106 complications of 10 kinds in 92 cases with ANP, 88(83％) were seen in those older than 55 and 27 of 32 cases (84％) died were older than 55; two of 8 age－groupingparameters, namely, ＞55 and＞60, showed better sensitivity, specificity and correct prediction thanthe others. Conclusion: It is quite reasonble to adopt age＞55 as the sole high－risk parameter or in a prognostic system in the assessment of the severity of acute pancreatitis.
出处
《中华消化杂志》
CAS
CSCD
北大核心
1997年第2期100-102,共3页
Chinese Journal of Digestion
关键词
急性
胰腺炎
诊断
预后
Acute pancreatitis,Diagnosis,Prognosis
