Tertiary peritonitis treated with integrated traditional Chinese and western medicine and its APACHE Ⅲscoring
10.3969/j.issn.1006-5725.2014.07.049
- VernacularTitle:第三型腹膜炎的中西医结合治疗与预后评估
- Author:
Dong XIA
;
Guodong XIA
;
Qing LIU
;
Qingwei ZOU
;
Liang XU
- Publication Type:Journal Article
- Keywords:
Peritonitis;
Tertiary peritonitis;
APACHEⅢscoring;
Integrated traditional Chinese and western medicine
- From:
The Journal of Practical Medicine
2014;(7):1164-1167
- CountryChina
- Language:Chinese
-
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.
