临床内科杂志 ›› 2020, Vol. 37 ›› Issue (2): 94-96.doi: 10.3969/j.issn.1001-9057.2020.02.006

• 论著 • 上一篇    下一篇

急性胰腺炎复发相关危险因素及临床特点分析

邵茗 罗和生   

  1. 武汉大学人民医院消化内科
  • 发布日期:2020-02-28
  • 通讯作者: 罗和生

Risk factors and clinical characteristics of recurrence of acute pancreatitis

  • Published:2020-02-28

摘要: 目的?探讨急性胰腺炎(AP)的复发危险因素及其临床特点。方法?收集353例AP患者的临床资料,根据是否出现复发分为复发组(96例)和非复发组(257例)。比较两组患者的病因(包括胆源性、高脂血症性、酒精性、其他原因性)构成和临床资料(包括一般资料、疾病史及C反应蛋白检测结果),并分析AP复发的危险因素。结果?复发组高脂血症性AP患者比例明显高于非复发组(P<0.05)。复发组患者的住院时间明显短于非复发组(P<0.05)。多因素logistic回归分析结果显示,高脂血症是AP复发的危险因素(OR=3.074,95%CI?1.728~5.469,P<0.01)。结论?AP复发患者的平均住院时间低于未复发患者,高脂血症是AP复发的危险因素。

关键词: 急性胰腺炎;复发;临床特点;危险因素

Abstract: Objective?To explore the risk factors and clinical characteristics of recurrence of acute pancreatitis(AP).Methods?Clinical data of 353 AP patients were collected and the patients were divided into the recurrence group (96 cases) and the non-recurrence group (257 cases) according to whether or not there was a recurrence.The etiology(including cholangiogenesis,hyperlipidemia,alcohol and other causes) and clinical data (including general data,disease history and c-reactive protein test results) of the two groups were compared,and risk factors for AP recurrence were analyzed.Results?The proportion of hyperlipidemic AP patients in the recurrence group was significantly higher than that in the non-recurrence group(P<0.05).The length of hospital stay in the recurrence group was significantly lower than that in the non-recurrence group(P<0.05).Multivariate?logistic?regression analysis showed that hyperlipidemia was a risk factor for recurrence of AP(OR=3.074,95%CI?1.728-5.469,P<0.01).Conclusion?The mean hospital stay of patients with recurrent AP is lower than that of patients without recurrent AP,and hyperlipidemia was a risk factor for recurrent AP.

Key words: Acute pancreatitis; Recurrence; Clinical features; Risk factors