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
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 ()