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Summary of integrative medicine for severe acute pancreatitis: 26-year clinical experiences and a report of 1 561 cases / 中国结合医学杂志
Chinese journal of integrative medicine ; (12): 381-385, 2011.
Article Dans Anglais | WPRIM | ID: wpr-328494
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the changing trends of clinical management for severe acute pancreatitis (SAP) with integrative medicine.</p><p><b>METHODS</b>Clinical data of 1 561 patients with SAP from 1980 to 2005 was retrospectively analyzed. The mortality and morbidity of complications were compared.</p><p><b>RESULTS</b>Of the 1 561 patients, 400 patients accepted surgical operation, while the rest were treated conservatively with integrative medicine. There was a change toward conservative management together with Chinese purgative herbal medication use after 1990 (22.4% from 1980-1990 compared with 45.5% from 1991-1993) because of high postoperative mortality. From 1994-2005, the treatment integrating Western medicine with Chinese herbal medications came to be preferred over the classic Western operation-based method. This change was associated with decreased morbidity (35.4% in 1980-1990 compared with 24.7% in 1991-1993 and 11.0% in 1994-2005, P<0.05) and lower mortality (40.52% of 1980-1990 compared with 17.17% of 1991-1993 and <10.25% of 1994-2005, P<0.05).</p><p><b>CONCLUSION</b>The combination of conservative management with Chinese herbal medicines is preferable to classic Western medicine treatment to reduce morbidity and mortality of SAP, while surgery becomes a supplemental option.</p>
Sujets)
Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Pancréatite / Thérapeutique / Maladie aigüe / Mortalité / Médecine intégrative Type d'étude: Étude pronostique Limites du sujet: Femelle / Humains / Mâle langue: Anglais Texte intégral: Chinese journal of integrative medicine Année: 2011 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Pancréatite / Thérapeutique / Maladie aigüe / Mortalité / Médecine intégrative Type d'étude: Étude pronostique Limites du sujet: Femelle / Humains / Mâle langue: Anglais Texte intégral: Chinese journal of integrative medicine Année: 2011 Type: Article