| 陆煜，卿国忠，凌洪.SAP病程中后期继发急性胆囊炎的风险因素分析.[J].中南医学科学杂志.,2014,42(6):598-601. |
| SAP病程中后期继发急性胆囊炎的风险因素分析 |
| Risk Factors Analysis of Severe Acute Pancreatitis Complicatedwith Acute Cholecystitis in Middle and Later Stage |
| 投稿时间：2014-05-06 |
| DOI： |
| 中文关键词: 重症急性胰腺炎（SAP） 急性胆囊炎（AC） 风险因素 |
| 英文关键词:severe acute pancreatitis (SAP) acute cholecystitis (AC) risk factors |
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| 中文摘要: |
| 目的探讨重症急性胰腺炎（SAP）中后期继发急性胆囊炎（AC）的风险因素及临床意义。方法 |
| 英文摘要: |
| ObjectiveTo explore the risk factors and clinical significance of severe acute pancreatitis(SAP) complicated with acute cholecystitis(AC) in middle and later stage.MethodsWith case-control study method,we collected clinical data of 42 cases of SAP complicated with AC patients and 210 cases of SAP patients from Jan 2010～Jun 2013,then used single factor non-conditional Logistic Regression method and multiple factors Logistic Regression method to screen the risk factors of SAP-AC.ResultsSingle factors Logistic Regression result showed that biliary lithiasis,BalthazarCT score,APACHE Ⅱ score,local and systemic complication,somatostatin time,TPN lasting time,glucocorticosteroid application,etc,significanctly affected SAP-AC.And multiple factors Logistic Regression result showed that glucocorticosteroid application (OR=5.395) biliary lithiasis (OR=2.963),somatostatin time (OR=1.404) APACHE Ⅱ score (OR=1.361),and TPN lasting time (OR=1.034) significanctly affected SAP-AC.ConclusionThis study showed that glucocorticosteroid application，biliary lithiasis,somatostatin time,APACHE Ⅱ score and TPN lasting time were significanct risk factors of SAP-AC in middle and later stage,and paying more attention to its predictive value will reduce its mortality and morbidity of SAP-AC. |
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