怀孕期间急性胆炎的干预措施和结果的发展趋势:二十年的分析分析
Ayushi Jain1, Yevgeniya Gokun2, Phil A Hart3
1Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, Cleveland, OH, USA.
概括
孕期急性胆道胰腺炎 (ABP) 正在增加,严重的ABP和并发病率增加. 虽然死亡率仍然很低,但种族差异和并发症影响严重程度,需要进一步研究护理差距.
科学领域:
- 产科和妇科 产科和妇科
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 胆病是怀孕期间急性胰腺炎的主要原因.
- 分析孕妇急性胆道胰腺炎 (ABP) 的趋势对于理解不断变化的结果至关重要.
研究的目的:
- 评估20多年来孕妇急性胆道胰腺炎 (ABP) 的趋势.
- 评估严重急性胰腺炎 (SAP) 发病率,死亡率和住院时间的变化.
主要方法:
- 利用国家住院患者样本 (NIS) 来查看2002年至2020年18至50岁女性住院情况.
- 分析了使用Cochran-Armitage和F测试的趋势,以及SAP结果的多变量后勤回归.
主要成果:
- 孕妇占ABP住院病例的比例越来越高 (14.1%至17.8%).
- 观察到显著增加的孕产妇年龄,III类肥胖症,并发症和SAP发病率.
- 死亡率仍然很低 (<0.01%),而ERCP和胆囊切除率增加,住院时间减少.
结论:
- 孕妇占ABP住院病例的大量和不断增长的部分,反映了肥胖和并发病率的上升.
- 黑人种族和并发症与更高的SAP几率有关,并发症具有更为主导的影响.
- 尽管增加了指导方针推的程序,但存在实施差距,需要对 ABP 复杂的孕妇患者进行进一步研究.
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