李鑫,胡梦琪,郎艳飞,徐有青.超声内镜对脂肪胰的诊断及相关临床因素分析.[J].中南医学科学杂志.,2020,(1):72-75.
超声内镜对脂肪胰的诊断及相关临床因素分析
Analysis of clinical factors about fatty pancreas diagnosed by endoscopic ultrasonography
投稿时间:2019-09-27  修订日期:2019-12-22
DOI:10.15972/j.cnki.43-1509/r.2020.01.019
中文关键词:  脂肪胰  超声内镜  危险因素  代谢综合征
英文关键词:fatty pancreas  endoscopic ultrasonography  risk factors  metabolic syndrome
基金项目:
作者单位
李鑫 首都医科大学附属北京天坛医院消化内科,北京 100070 
胡梦琪 首都医科大学附属北京天坛医院消化内科,北京 100070 
郎艳飞 首都医科大学附属北京天坛医院消化内科,北京 100070 
徐有青 首都医科大学附属北京天坛医院消化内科,北京 100070 
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中文摘要:
      为探讨超声内镜对脂肪胰的诊断价值及临床危险因素,将185例纳入者据超声内镜表现分为脂肪胰组(病例组)和正常胰腺组(对照组)。回顾性分析两组相关资料,结果发现:两组患者在性别、血压、吸烟史、高血压史、血清低密度脂蛋白和高密度脂蛋白水平方面,无明显差异;在年龄、BMI、饮酒史、血清甘油三酯和总胆固醇水平、是否伴有2型糖尿病、高脂血症、脂肪肝、代谢综合征方面,差异有统计学意义(P<0.05);经非条件Logistic回归分析:年龄>50岁、BMI≥25kg/m2、伴有高脂血症和脂肪肝是脂肪胰独立危险因素。提示年龄>50岁、肥胖、伴有高脂血症或脂肪肝是发生脂肪胰的临床危险因素,脂肪胰与代谢综合征密切相关。
英文摘要:
      To observe the clinical influencing factors of fatty pancreas diagnosed by endoscopic ultrasonography, a total of 185 subjects from gastroenterology were divided into fatty pancreas group (case group, n=79) and normal pancreas group (control group, n=86) according to sonographic imaging under endoscopic ultrasound. Relevant data of two groups were retrospectively analyzed. Results found that there was no significant difference in gender, blood pressure, smoking history, hypertension, and serum LDL and HDL levels between the two groups. Age, BMI, accompanied by diabetes, hyperlipemia, fatty liver, metabolic syndrome and serum triglyceride, total cholesterol were statistically different between the two groups (P<0.05); Non-conditional multivariate Logistic regression analysis showed that age >50 years old, BMI≥25kg/m2, hyperlipemia and fatty liver were independent risk factors for fatty pancreas. These indicated that age >50 years old, obesity, hyperlipemia or fatty liver are important risk factors of fatty pancreas, which is closely related to metabolic syndrome.
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