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目的探讨代谢综合征在预测急性胰腺病情程度、并发症发生情况及预后中的意义。方法对起病时伴代谢综合征的急性胰腺炎患者42例(MS组)、不伴代谢综合征的急性胰腺炎患者86例(非MS组)入院时Ranson评分、Balthazar CT分级评分、血清钙、血清C反应蛋白、p(O2)、住院天数、禁食水时间、腹痛缓解时间、血淀粉酶恢复时间、局部及系统并发症发生率等进行分析。结果 MS组Ranson评分、Balthazar CT分级评分、血清C反应蛋白水平均高于非MS组,血清钙和p(O2)水平低于非MS组,住院天数、禁食水时间、腹痛缓解时间、血淀粉酶恢复时间较非MS组长,并发症发生率较非MS组高,差异均有统计学意义(P<0.05)。结论代谢综合征可作为判断急性胰腺炎病情严重程度及影响预后的因素之一。
Objective To investigate the significance of metabolic syndrome in predicting the severity of acute pancreatitis, the incidence of complications and prognosis. Methods Forty-two patients with acute pancreatitis (MS group) and metabolic syndrome-free acute pancreatitis (MS group) at onset were evaluated by Ranson score, Balthazar CT grade score, serum calcium , Serum C-reactive protein, p (O2), length of hospital stay, fasting water time, remission time of abdominal pain, blood amylase recovery time, the incidence of local and systemic complications were analyzed. Results The Ranson score, Balthazar CT grade and serum C-reactive protein level in MS group were significantly higher than those in non-MS group. The levels of serum calcium and p (O2) in MS group were lower than those in non-MS group, hospital stay, fasting water, Amylase recovery time than non-MS leader, complication rate than non-MS group, the difference was statistically significant (P <0.05). Conclusion Metabolic syndrome can be used as one of the factors in judging the severity of acute pancreatitis and prognosis.