摘要
目的：分析急性胰腺炎（ AP）常见病因的分布情况及其相关因素。方法对131例急性胰腺炎患者的临床资料进行回顾性分析，分别记录并分析患者年龄、性别、病因、胰腺炎临床分型等，以胆道疾病、暴饮暴食或高脂餐、酗酒、高脂血症、其他病因等进行病因分组，以18～29岁（青年组）、＞29～44岁（壮年组）、＞44～59岁（中年组）、＞59岁（老年组）进行年龄分组，对不同原因AP的性别、年龄段及不同临床分型等分布情况进行分析。结果胆道疾病61例（46．3％），暴饮暴食或高脂餐38例（29．4％），酗酒21例（16．1％），高脂血症8例（5．9％），其他3例（2．3％）。壮年组暴饮暴食或高脂餐、酗酒及高脂血症构成比高于其他组，但差异无统计学意义（χ2＝19．1，df＝12，P＝0．085）。不同临床分型在各种AP病因构成比中差异无统计学意义（χ2＝1．9，df＝4，P＝0．753）。结论胆道疾病是AP的主要病因，其次为暴饮暴食或高脂餐、酗酒，高脂血症性AP有明显上升趋势，治疗上需去除病因，加强对AP综合管理。
Objective To analyze the various common causes of acute pancreatitis distribution and related factors.Methods 131 cases of acute pancreatitis patients from April 2007 to August 2013 were chosen.The medical records were retrospectively analyzed .Patients were recorded and analyzed in age ,gender,etiology,clinical pancreatitis type.With biliary tract disease,overeating or high-fat meal,alcoholism,hyperlipidemia,other causes such as to cause the group to 18-29 years of age（youth group）,29-44 years old（middle-aged group）,44-59 years old（middle-aged＆amp;nbsp;group）,≥59 years of age（age group） for the sector for the age group,for different reasons,the AP′s gender,age and different clinical types such as distribution were analyzed .Results Biliary disease 61 cases（46.3%）;overeating or high-fat meal 38 cases（29.4%）;alcoholism 21 cases（16.1%）;high ester hyperlipidemia 8 cases（5.9%）;other three cases（2.3%）.Adult group overeating or high-fat meal,alcoholism and hyperlipidemia constituent ratio were higher than other groups,but with no significant difference（Pearson χ2 =19.1,df=12,P=0.085）.Clinical types in a variety of different etiology than AP was no significant difference （ Pearson χ2 =1.9, df =4, P =0.753 ）. Conclusion Biliary tract disease remains a major cause of AP ,followed by overeating or a high-fat meal,alcoholism, hyperlipidemia.AP has a clear upward trend,the treatment must remove the cause,to strengthen the integrated man-agement of AP .
出处
《中国基层医药》
CAS
2014年第7期991-993,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胰腺炎
病因学
综合分析
Pancreatitis/etiology
Meta analysis
