探讨高脂血症性胰腺炎的临床特点和诊治原则.docVIP

精品论文 参考文献 探讨高脂血症性胰腺炎的临床特点和诊治原则 袁培杰（四川省广元市第四人民医院消化内科 四川广元 628000） 　　【摘要】目的：探讨高脂血症性胰腺炎的临床特点和诊治原则。方法：选取我院2013年2月-2014年2月收治的58例高脂血症性胰腺炎患者随机分为对照组和治疗组，每组各29例。对照组给予常规抗胰腺炎治疗，治疗组在对照组的基础上给予非诺贝特、辛伐他丁钙联合降血脂，肝素钠抗凝，丹参改善微循环等治疗方法。观察两组血液指标及身体情况。结果：治疗后两组患者甘油三脂（TG）、血淀粉酶（AMY）、丙氨酸转氨酶（ALT）、血糖（BS）与治疗前相比均有明显的下降（Plt;0.05）；而且治疗组患者治疗后TG和BS显著高于对照组（Plt;0.05），AMY和ALT显著低于对照组（Plt;0.05）。两组患者急性心理学及慢性健康状况评分（APACHEⅡ）、体重指数（BMI）、CT严重指数（CTSI）比较，差异无统计学意义（Pgt;0.05）。结论：高脂血症性胰腺炎病情严重，要尽早确诊以及治疗可以提高患者的临床疗效。 　　【关键词】高脂血症性胰腺炎 临床特点 诊治原则 　　【中图分类号】R576 【文献标识码】A 【文章编号】1672-5085（2014）09-0084-02 　　To investigate the clinical characteristics and therapeutic principles of hyperlipidemic pancreatitis 　　【abstract】Objective: To explore the clinical characteristics and treatment of hyperlipidemia sex pancreatitis principle. Methods: Selection of our hospital in February 2013 - February 2013, 58 cases of hyperlipidemia sex pancreatitis patients were randomly divided into control group and treatment group, all the 29 cases in each group. Control group given conventional pancreatitis treatment, the treatment group in the control group given on the basis of fenofibrate and simvastatin butyl joint fall hematic fat, calcium heparin anticoagulation, salvia miltiorrhiza improve microcirculation and other treatments. Observe two groups of blood index and physical condition.Results: blood amylase (AMY), alanine aminotransferase (ALT), blood sugar (BS) compared with before treatment were obviously decreased (P lt; 0.05); And the treatment group after treatment in patients with TG and BS is significantly higher than control group (P lt; 0.05), AMY and ALT was significantly lower than control group (P lt; 0.05). Two groups of patients with acute or chronic health evaluation (APACHE Ⅱ) psychology, body mass index (BMI), computed tomography (CT) severity index (CTSI), there was no statistically significant difference (P gt; 0.05). Conclusion: The disease is severe, hyperlipidemia s