摘要
目的：探讨急性复发性胰腺炎的临床特点及发病病因。方法选择该院2010年1月至2012年12月收治的急性胰腺炎患者274例，其中初发组231例，复发组43例，进行临床资料与相关数据的统计分析。结果急性复发性胰腺炎距初次发病1～6个月内复发概率最高（20例，占46．51％）；胆源性因素是初发及复发最主要的发病因素，且复发组高于初发组，差异有统计学意义（P＜0．05）；复发组高脂血症明显高于初发组，差异有统计学意义（P＜0．05），其相关因素的 OR值较胆源性高；饮食不当、乙醇性及其他因素复发组均低于初发组，两组间差异无统计学意义（P＞0．05）；重症胰腺炎的发生率及手术发生率和病死率无明显区别。结论胆源性疾病及高脂血症与急性胰腺炎复发密切相关。
Objective To discuss the pathogenesis and clinical characteristics of acute relapsing pancreatitis .Methods The clini-cal data and relevant data of 274 acute pancreatitis cases from January 2010 to and December 2012 were analyzed ,of which one group of 231 cases were first onset and the other group of 43 cases were relapsing .Results The probability of relapse of acute pan-creatitis were highest from 1 month to half a year after first onset （20 cases ,accounting for 46 .51% ）;biliary factors were the major causes of first onset and relapse cases ,where the relapsing group was higher than first onset group ,with statistical significance （P＆lt;0 .05）;the relapsing group had more severe symptoms of hyperlipidemia than the first onset group ,with significant difference （P＆lt;0 .05） ,The relative risk （OR value） of relevant factors were higher than biliary factors ;improper diet ,alcohol and other factors of the relapsing group were lower than the first onset group ,without statistical significance （P＆gt; 0 .05）;there was no significant difference between the occurrence rate of severe pancreatitis and the occurrence rate of surgeries and deaths .Conclusion Biliary diseases and hyperlipidemia are closely related with the relapse of acute pancreatitis .
出处
《重庆医学》
CAS
CSCD
北大核心
2014年第9期1047-1048,共2页
Chongqing medicine
基金
泸州医学院青年基金资助项目(11090)
关键词
胰腺炎
高脂血症
胆源性疾病
复发
pancreatitis
hyperlipidemia
biliary disease
relapsing
