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第三型腹膜炎的中西医结合治疗与预后评估

夏冬 夏国栋 刘庆 邹庆伟 徐亮

实用医学杂志Issue(7):1164-1167,4.
实用医学杂志Issue(7):1164-1167,4.DOI:10.3969/j.issn.1006-5725.2014.07.049

第三型腹膜炎的中西医结合治疗与预后评估

Tertiary peritonitis treated with integrated traditional Chinese and western medicine and its APACHE Ⅲscoring

夏冬 1夏国栋 2刘庆 1邹庆伟 1徐亮1

作者信息

  • 1. 646000 泸州医学院附属医院胃肠外科
  • 2. 646000 泸州医学院附属医院消化内科
  • 折叠

摘要

Abstract

Objective To investigate the clinical features , treatment regimen , and prognosis evaluation of tertiary peritonitis (TP). Methods Seventy-eight cases with TP were randomly enrolled into 2 groups, including the simple western medicine-treated group (32 cases) and the integrated traditional Chinese and western medicine-treated group (46 cases). The prognoses were evaluated according to the acute physiology and chronic health evaluationⅢ (APACHEⅢ, APⅢ) scoring. Results The mortality rate was 71.9% (23 of 32) in patients received the simple western medicine and was 32.6%(15 of 46) in patients received the integrated traditional Chinese and western medicine with significant difference between these two groups (P < 0.01). There was a significant correlation between AP Ⅲscore and actual mortality (r=0.73,P<0.01), and predicted mortality (r=0.76, P<0.01). Conclusions The therapeutic effect is acceptable and satisfactory for the TP patients received the integrated traditional Chinese and western medicine. The AP Ⅲ scoring system can be used to predict the prognosis of TP patients.

关键词

腹膜炎/第三型腹膜炎/APACHEⅢ评分/中西医结合治疗

Key words

Peritonitis/Tertiary peritonitis/APACHEⅢscoring/Integrated traditional Chinese and western medicine

引用本文复制引用

夏冬,夏国栋,刘庆,邹庆伟,徐亮..第三型腹膜炎的中西医结合治疗与预后评估[J].实用医学杂志,2014,(7):1164-1167,4.

基金项目

四川省卫生厅科研项目(编号090210);泸州市科技局重点科技项目 ()

实用医学杂志

OA北大核心CSTPCD

1006-5725

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