广东佛山地区不同年龄层急性胰腺炎病因和临床特点分析.docVIP

广东佛山地区不同年龄层急性胰腺炎病因和临床特点分析 　　【摘要】 目的：探讨佛山地区不同年龄层急性胰腺炎的病因和临床特征。方法：回顾佛山市第一人民医院2007年1月-2016年12月住院的803例急性胰腺炎（AP）患者的临床资料，对不同年龄层AP患者的年龄、性别、病因、分型、住院费用、住院天数和预后等进行统计分析。结果：不同年龄层MAP及SAP发生率比较，差异均有统计学意义（P0.001）。不同年龄层的胰腺炎病因构成比较，差异均有统计学意义（P0.001）。不同年龄层MAP患者的住院天数比较，差异有统计学意义（P=0.049）；不同年龄层SAP患者的住院天数及住院费用比较，差异均有统计学意义（P0.05）。结论：急性胰腺炎的病因及临床特点与年龄有一定关系，老年患者的经济负荷较重，预后较差。 　　【关键词】 佛山地区； 急性胰腺炎； 病因； 临床特点 　　Analysis of Etiology and Clinical Characteristics of Acute Pancreatitis in Different Age Groups in Foshan City of Guangdong Province/OUYANG Yong-wen，CUI Xi-yu，LI Zhao-tao，et al.//Medical Innovation of China，2017，14（27）：067-069 　　【Abstract】 Objective：To investigate the etiology and clinical characteristics of acute pancreatitis for different age stratifications in Foshan city of Guangdong province.Method：The data of 803 patients with acute pancreatitis admitted to the Foshan NO.1 People’s Hospital from January 2007 to December 2016 were retrospectively investigated to analyze the age，sex，etiology，severity，hospitalization costs，length of stay and prognosis.Result：The incidence of MAP and SAP in different age groups had statistical difference（P0.001）.The etiology of pancreatitis in different age groups was compared，the difference was statistically significant（P0.001）.There were significant differences in the number of hospital stay between MAP patients in different age groups（P=0.049）；the hospitalization days and hospitalization expenses of SAP patients in different age groups were significantly different（P0.05）.Conclusion：There is a certain relationship between the etiology of acute pancreatitis and its clinical characteristics in elderly patients with age， economic load is heavy and poor prognosis. 　　【Key words】 Foshan city； Acute pancreatitis； Etiology； Clinical characteristics 　　First-author’s address：Foshan NO.1 People’s Hospital，Foshan 528000，China 　　doi：10.3969/j.issn.1674-4985.2017.27.019 　　由于急性胰腺炎（AP）的?l生与饮食结构、经济水平等因素均相关，而且不同年龄层的发生率及临床特点亦不尽相同，因此研究AP的病因及其临床特征变化对急性胰腺炎的防治及预后评估有一定