急性胰腺炎与体重指数以及血糖水平的关系研究-普通外专业论文.docxVIP

— — PAGE 1— 摘 要 急性胰腺炎与体重指数以及血糖水平的关系研究 研究生：马瑞斌 导师：陈启龙 教授 摘 要 目的：探讨急性胰腺炎(AP)与体重指数(BMI)以及血糖水平的关系。方法：对 2007 年 1 月～2009 年 1 月间在我院住院治疗的 AP 患者 200 例进行回顾性研究，观 察 AP 与 BMI 以及血糖水平的相关性。采用 Ranson 标准、Balthazar CT 分级系统对 患者入院时的病情严重程度作回顾性分析，同时符合 Ranson 标准≥3 分，Balthazar CT 分级达到 D 级或 E 级者确诊为重症急性胰腺炎。记录患者入院时 BMI、血糖、 年龄、性别、病因及并发症，分析 BMI 及血糖与以上临床指标的相关性，并探讨 胰腺炎预后的关系。结果：MAP 组并发症构成比为 13.33%，SAP 组为 94.29%； MAP 组死亡构成比为 0，SAP 组为 25.71%，两者比较差异均具有统计学意义( P＜ 0.05 ）。MAP 组中肥胖者明显少于 SAP 组，两者比较差异均具有统计学意义( P ＜0.05 ）。MAP 组体重指数（25.6±3.6）kg/m2；血糖(8.21±2.04)mmol/L，SAP 组 体重指数（28.7±4.2）kg/m2；血糖(13.70±2.16)mmol/L，两者比较差异具有统计学 意义( P＜0.05 ）；MAP 组有糖尿病史 14 例(8.48%)，SAP 组有 22 例(66.67%)，两 者比较差异具有统计学意义( P＜0.05 )。Ranson 评分、Balthazar CT 分级及 CTSI 评 分与 BMI、血糖水平具有显著的相关性( P＜0.05 )。结论：BMI 和血糖水平与 AP 有着密切的相关性，可以作为该病预后的参考指标。 关键词：急性胰腺炎；体重指数；血糖；预后 新疆医科大学医学硕士学位论文 Study on Relation of Body Mass Index and Blood Sugar Level with Acute Pancreatitis Postgraduate:Ma Ruibin Supervisor: CHEN Qi-long Abstract Objective:To invesgate the relation of body mass index (BMI)and blood sugar level with acute pancreatitis(AP). Methods:200 cases with acute pancreatitis in our hospital from January in 2007 to January in 2009 were studied perspectively, and correlation of mass index and blood sugar level with acute pancreatitis were observed. The Ranson standard, Balthazar CT grading system were respectively performed for a retrospective analysis in 200 AP patients, and the patients were diagnosed as severe acute pancreatitis (SAP) when Ranson standard≥3 score and Balthazar CT grading reached grade D or E. At the same time, the blood glucose, BMI, age, gender, etiopathogenisis and complications were also recorded, according to analyses the correlation among blood glucose and BMI with indexes mentioned above to understand the relation of blood glucose and body mass index (BMI) with acute pancreatitis(AP). Results: The incidence rate of complication was 13.33% in MAP group and was 94.29% in SAP group, the death rate was 0 in MAP group and w