目的:探讨体重指数(BMI)和腰臀比(WHR)在高脂血症急性胰腺炎(HLAP)严重程度和并发症早期评估中的价值。方法以BMI<24 kg/m2为正常、BMI≥24 kg/m2为超重、BMI≥28 kg/m2为肥胖,将96例HLAP患者分为正常组、超重组和肥胖组;按WHR将患者分为中心性肥胖组和无中心性肥胖组,观察BMI和WHR对HLAP分型和并发症的影响。结果 BMI正常组、超重组和肥胖组,以及无中心性肥胖组和中心性肥胖组与HLAP病情严重程度(MAP、MSAP、SAP)的发生率差异均有统计学意义。BMI正常组、超重组和肥胖组以及无中心性肥胖组和中心性肥胖组呼吸衰竭和循环衰竭发生率差异有统计学意义(<0.05),而其他全身并发症和局部并发症发生率差异无统计学意义(>0.05)。结论 BMI和WHR与HLAP病情严重程度和全身并发症有关,可作为HLAP严重程度和并发症预测的重要指标。肥胖患者HLAP病情重,并发症发生率高。
Objective To investigate the early assessment value of Body Mass Index and Waist Hip Ratio in the prediction of severity in hyperlipidemic acute pancreatitis. Methods According to the BMI, 96 patients were divided into the normol group, overweight group and obese group. According the WHR, patients were divided into central obesity group and no central obesity group. The differences of the BMI and WHR in assessment of severity and complication of hyperlipidemic acute pancreatitis were compared with chi-square test and Monte Carlo. Results The BMI and WHR were correlated with the severity (MAP, MSAP, SAP) and systemic complications (respiratory failure, circulatory failure) ( < 0.05), and not correlated with the local and systemic complications (kidney failure, gastrointestinal bleeding). Conclusions The BMI and WHR have a certain value in evaluation prediction of severity and complication in the hyperlipidemic acute pancreatitis. This study demonstrates that obesity significantly influenced the severity and complication of hyperlipidemic acute pancreatitis.