摘要
目的分析重症胆源性胰腺炎(SBP)预后情况及影响因素。方法收集我院2014年1月—2017年12月收治的128例SBP患者临床资料,根据是否发生死亡将其分存活组例和死亡组。分析2组临床资料,并采用logistic回归进行不良预后的危险因素分析。结果 128例患者中死亡19例;存活组和死亡组在谷丙转氨酶恢复正常时间、腹痛缓解时间和住院时间上比较差异无统计学意义(P>0.05)。高脂饮食、泥沙样结石、胆胰管开口狭窄、壶腹部周围憩室、合并肝内胆管结石、血清白蛋白降低和血清甘油三酯升高是影响SBP患者不良预后的独立危险因素(P<0.001)。结论 SBP患者死亡率较高,高脂饮食、泥沙样结石、胆胰管开口狭窄壶腹部周围憩室、合并肝内胆管结石、血清白蛋白降低和血清甘油三酯升高是影响SBP患者不良预后的危险因素。
Objective To analyze prognosis and influencing factors of patients with (SBP). Methods Clinical data of 128 patients with SBP in admitted during January 2014 and December 2017 was collected, and the patients were divided into survival group and death group according to whether or not having death. In two groups, clinical data was analyzed, and risk factors of adverse prognosis were analyzed by logistic regression. Results Among the 128 patients, 19 patients died. There were no significant differences in recovery time of normal alanine transarninase (ALT), relief time of abdominal pain or hospital stay between two groups ( P >0.05). High-fat diet, muddy stone, biliopancreatic duct opening stenosis, periampullary diverticulum, combination of intrahepatic bile duct calculi, decreased serum albumin and increased serum triglyceride were independent risk factors of poor prognosis in SBP patients ( P <0.001). Conclusion High mortality rate, high-fat diet, muddy stone, biliopancreatic duct opening stenosis, periampullary diverticulum, combination of intrahepatic bile duct calculi, decreased serum albumin and increased serum triglyceride are risk factors of poor prognosis in patients with SBP.
作者
黄深巧
张少华
王文静
HUANG Shen-qiao;ZHANG Shao-hua;WANG Wen-jing(The First Department of Hepatobiliary Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, China)
出处
《解放军医药杂志》
CAS
2019年第5期82-85,共4页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
四川省卫生厅科研课题(130347)
关键词
重症胆源性胰腺炎
预后
危险因素
回归分析
Severe biliary pancreatitis
Prognosis
Risk factors
Regression analysis
