Mối liên quan giữa tăng triglycerid máu với mức độ nặng theo Atlanta sửa đổi và tình trạng hoại tử tụy theo Balthazar

To determine the relationship between elevated blood triglyceride levels and the severity of acute pancreatitis as well as pancreatic necrosis. Subjects and Methods: The study was conducted on two groups of patients with acute pancreatitis: Group 1 (5.7-11.3 mmol/l) and Group 2 (≥ 11.3 mmol/l). Multivariate analysis and logistic regression were used to compare the severity of pancreatitis and pancreatic necrosis between the two groups. Results: Severe Acute Pancreatitis: Group 2 (≥ 11.3 mmol/l) had a higher rate of severe acute pancreatitis compared to Group 1 (31.4% vs. 19.6%), indicating that elevated triglyceride levels are associated with increased disease severity. Pancreatic Necrosis: Group 2 had a higher rate of severe pancreatic necrosis (29.4% vs. 19.6%), with a strong correlation between triglyceride levels and Balthazar score (r = 0.59, p < 0.001). Multivariate Analysis: Elevated triglyceride levels were found to be an independent predictor of severe acute pancreatitis (OR = 1.9, p = 0.01) and severe pancreatic necrosis (OR = 3.5, p < 0.001). Conclusion: High blood triglyceride levels are closely associated with increased severity and more significant pancreatic damage, requiring careful monitoring and control.