Study On Distribution Characteristics Of Three-Jiao Clinical Study On The Application Of Syndrome Differentiation Of Three-Jiao Syndrome In Common Surgical Acute Abdomen

ObjectiveIn recent years,a large number of literatures have reported the research of syndrome differentiation of triple energizer in clinical,animal experiments and cell biology,confirming its application value in internal and surgical miscellaneous diseases.Therefore,the purpose of this study is to observe the epidemiological distribution and characteristics of the Triple Energizer syndrome differentiation in surgical acute abdomen,the correlation between the syndrome classification of triple energizer and Apache II score,the laboratory indicators and statistical significance of the Triple Energizer syndrome differentiation,to speculate its role in disease prognosis and prediction,to verify the relationship between its transformation law and the evolution of surgical acute abdomen,and to explore its value of clinical application.Method1.A total of 295 patients with acute abdomen in general surgery of Shanghai Hospital of Integrated Traditional Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine and South Hospital of First People's Hospital Affiliated to Shanghai Jiaotong University were collected.Common surgical acute abdominal diseases were included: acute appendicitis,acute cholecystitis,acute intestinal obstruction,acute gastrointestinal perforation and acute pancreatitis.2.According to the symptoms of patients as the first collection time,complete the syndrome differentiation of triple energizer syndrome.The APACHEII score was applied to the patients in the study group according to the experimental indicators.The second Apache II score and syndrome differentiation of Triple Energizer syndrome were applied to the patients whose condition changed(the condition improved obviously after operation/the condition aggravated further).At the same time,the laboratory indicators: WBC,ALT,Cr were collected and the generalinformation of patients was collected.3.To analyze the clinical distribution characteristics of the syndrome differentiation of triple energizer in common surgical acute abdomen,and the correlation between the changing regularity of three-jiao syndrome differentiation and the severity of surgical acute abdomen.Results1.Clinical Distribution Characteristics of Common Surgical Acute AbdomenThere were 295 cases of common surgical acute abdomen,including 46 cases of acute pancreatitis(15.59%),59 cases of acute appendicitis(20.00%),108 cases of acute cholecystitis(36.61%),41 cases of acute gastrointestinal perforation(13.90%)and 41 cases of acute intestinal obstruction(13.90%).The average age of all patients was 54.28±18.04,including 164 males(55.59%)and 131 females(44.41%).There were 51 cases of upper Jiao(17.30%),194 cases of middle Jiao(65.80%)and 51 cases of lower Jiao(16.90%).2.Clinical Distribution Characteristics of Upper,Middle and Lower Triple Jiao Syndrome in Common Surgical Acute AbdomenThe average age and APACHEII scores of upper,middle and lower Jiao syndrome groups showed an increasing trend,and the difference was statistically significant(P < 0.05).HR,R,T and WBC in the upper,middle and lower Jiao syndrome group showed significant difference(P < 0.05),but did not show a gradual increasing trend.There was no difference in the distribution of sex,ALT and Cr among the three groups of upper,middle and lower Jiao syndrome(P > 0.05).3.Distribution Characteristics and Relations of Variables in Variable and Non-Variable GroupsThe age of the metamorphic group was younger than that of the non-metamorphic group,with significant difference(P < 0.05);the WBC value of the metamorphic group was higher than that of the non-metamorphic group,with significant difference(P < 0.05);there was no significant difference in APACHEII score,gender,Cr and ALT between the two groups(P > 0.05).4.Distribution Characteristics of Clinical Indicators in Different Transfer Direction GroupsThe second APACHEII score of the upper-middle group was lower than that of the lower-middle group(P < 0.05),and the second APACHEII score of the upper-middle group was lower than that of the lower-middle group(P < 0.05).Intra-group comparison: The second APACHEII score in the upper-middle group and the lower-middle group was higher than the first APACHEII score,with statistical significance(P<0.05);the second APACHEII score in the middle-upper group and the lower-middle group was lower than the first APACHEII score in the intra-group,with statistical significance(P<0.05).5.Distribution of metastasis in operation group and non-operation groupThere was no significant difference between operation group and non-operation group(P > 0.05).Conclusion:1.The common surgical acute abdomen is mainly the lesion of the middle Jiao syndrome.2.Differentiation and transformation of Triple Energizer syndrome can predict the prognosis and prognosis of the disease.Upper-middle,middle-lower indicate the aggravation of the disease.Lower-middle,middle-upper indicate the improvement of the disease.The transformation law of Triple Energizer syndrome type can provide the basis for the follow-up treatment.3.The regularity of common changes in syndrome differentiation of Triple Energizer syndrome is basically consistent with the clinical incidence and progress of surgical acute abdomen.The syndrome differentiation of Triple Energizer syndrome can be used as a reference for the severity of common surgical acute abdomen.