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人口统计,急性胰腺炎的临床过程和后果的病因差异:一项回顾性研究
1NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY, VINNYTSIA, UKRAINE.
急性胰腺炎因原因而异,影响不同的人口和临床结果. 了解这些病因差异对于有效的治疗和预防策略至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 流行病学 流行病学
背景情况:
- 急性胰腺炎 (AP) 是一种严重的胃肠道疾病,有多种不同的病因.
- 了解AP不同原因的人口和临床变异对于患者管理至关重要.
研究的目的:
- 分析急性胰腺炎的病因结构.
- 描述人口特征,临床过程,形态形式,严重程度和与不同病因变异相关的结果.
主要方法:
- 从2017年到2022年,对677个住院病人的病历进行了回顾性分析.
- 包括乌克兰维尼茨亚地区急诊和三级区域医院的数据.
主要成果:
- 饮食因素 (37.5%) 是最常见的原因,其次是胆汁 (18.6%),酒精 (14.0%) 和术后 (7.8%).
- 胆汁AP影响了老年患者 (中位数为61岁),而酒精AP影响了年轻患者 (中位数为40岁),死亡率最高 (22.1%).
- 在饮食和酒精AP组中男性占主导地位,而在胆汁AP组中女性占主导地位 (62.7%). edematous AP是常见的,但感染性死性胰腺炎在酒精性AP中更常见 (7.4%).
结论:
- 急性胰腺炎的病因变异显著影响人口统计和临床指标.
- 对这些变异的进一步研究对于改善预后,管理和制定有针对性的预防和治疗策略至关重要.
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