遵义医科大学学报2025，Vol.48Issue(9)：896-902,7.
胰腺肿胀部位对急性胰腺炎后血糖变化的研究
Investigation into the impact of pancreatic swelling location on blood glucose in patients with acute pancreatitis
摘要
Abstract
Objective To explore the impact of pancreatic swelling sites on blood glucose in patients with acute pancreatitis(AP)and to investigate the risk factors for stress hyperglycemia.Methods A total of 216 patients with AP who were treated at the Emergency Medical Center of the Second People's Hospital of Anhui Province were retrospectively collected.According to the abdominal computed tomography(CT)imaging findings,the pa-tients were divided into the non-swollen group(69 cases)and the swollen group(147 cases).The swollen group was further divided into the whole pancreas group(69 cases),the pancreatic head group(35 cases),and the pancreatic body and tail group(43 cases).The general conditions,blood glucose differences,inflammatory in-dicators,and biochemical indicators were compared among the groups.Results The length of hospital stay,li-pase,amylase,triglyceride(TG),total cholesterol(TC),hemoglobin A1c(HbA1c),fasting blood glucose(FBG),white blood cell count(WBC),neutrophil count(NEU),blood urea nitrogen,and creatinine were all higher in the swollen group than in the non-swollen group(P＜0.05).The length of hospital stay and the levels of lipase and amylase were longer and higher in the whole pancreas group than in the pancreatic head group and the pancreatic body and tail group(P＜0.05).The levels of TG,TC,HbA1c,FBG,inflammatory indicators,and renal function were higher in the pancreatic head group than in the whole pancreas group and the pancreatic body and tail group(P＜0.05).In the multivariate Logistic regression analysis,stress hyperglycemia was inde-pendently associated with peripancreatic exudation and recurrent pancreatitis.Conclusion Patients with pancreat-ic swelling have a higher risk of severe glucose and lipid metabolism disorders,infection,and renal function ab-normalities.Close follow-up of AP patients is necessary.关键词
急性胰腺炎/胰腺肿胀部位/应激性高血糖/肾功能Key words
acute pancreatitis/swelling of the pancreas/stress hyperglycemia/renal function分类
医药卫生引用本文复制引用
尹秀美,李雅琴,程子旺,徐玉龙..胰腺肿胀部位对急性胰腺炎后血糖变化的研究[J].遵义医科大学学报,2025,48(9):896-902,7.基金项目
安徽省卫生计生委科研计划项目(NO:2018SEYL018). （NO:2018SEYL018）
