邱雷 危贵君

    [摘要]?目的?探讨高脂血症性急性胰腺炎(hyperlipidemic?acute?pancreatitis，HLAP)及非高脂血症性急性胰腺炎(non-hyperlipidemic?acute?pancreatitis，NHLAP)的临床特点及血清淀粉样蛋白A(serum?amyloid?A，SAA)对其严重程度的预测价值。方法?选取2018年1月至2021年7月湖州市第一人民医院收治的急性胰腺炎(acute?pancreatitis，AP)患者710例进行回顾性分析，其中HLAP患者为研究组(n=187)，NHLAP患者为对照组(n=523)。分析患者的性别、年龄、体质量指数、血尿淀粉酶等临床资料及SAA水平，评估SAA对HLAP、NHLAP疾病严重程度的预测价值。结果?HLAP组的血淀粉酶(amylase，AMY)、尿AMY水平均低于NHLAP组，HLAP组三酰甘油(triglyceride，TG)水平高于NHLAP组，差异均有统计学意义(P0.05)。SAP患者SAA水平显著高于同组MSAP、MAP患者(P0.05)。HLAP组MSAP及SAP患者入院1～4d、6d时，SAA水平均显著高于NHLAP组(P

    [Abstract]?Objectives?To?investigate?the?clinical?characteristics?of?hyperlipidemic?acute?pancreatitis?(HLAP)?and?non-hyperlipidemic?acute?pancreatitis?(NHLAP)?and?the?predictive?value?of?serum?amyloid?A?(SAA)?on?their?severity.?Methods?A?total?of?710?patients?with?acute?pancreatitis?(AP)?admitted?to?Huzhou?First?People's?Hospital?from?January?2018?to?July?2021?were?selected?for?retrospective?analysis，?with?HLAP?patients?as?the?study?group?(n=187)?and?NHLAP?patients?as?the?control?group?(n=523).?Patients'?clinical?data?such?as?gender ......