大承气汤热奄包外敷联合血必净治疗脓毒症的临床效果
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王庆,男,主治医师,主要研究方向是呼吸系统疾病与重症医学。

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R 631

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Clinical Effect of Dachengqi Decoction Reyanbao Combined with Xuebijing in the Treatment of Sepsis
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    摘要:

    摘 要目的:研究给予脓毒症(瘀毒内阻证)患者大承气汤热奄包联合血必净治疗的临床效果及对降钙素原(PCT)、 白细胞介素 –6(IL–6)的影响。 方法:选取福建中医药大学附属第三人民医院 2019 年 3 月至 2021 年 3 月期间收治的 100 例 脓毒症(瘀毒内阻证)患者作为研究对象,应用随机数字表法分为对照组和观察组。其中对照组(50 例,脱落 3 例)给 予常规疗法,观察组(50 例,脱落 2 例)在对照组基础上给予大承气汤热奄包联合血必净治疗,对两组患者临床疗效及 炎症因子指标(PCT、IL–6)进行观察分析。 结果:观察组患者治疗总有效率为 85.42 %,高于对照组的 65.96 %,差异具 有统计学意义(P < 0.05);治疗前两组患者的 PCT、IL–6 比较,差异无统计学意义(P > 0.05)。治疗后观察组患者的 PCT、IL–6 指标水平低于对照组,差异具有统计学意义(P < 0.05)。 结论:在脓毒症(瘀毒内阻证)患者临床治疗中给 予大承气汤热奄包外敷联合血必净治疗可提高治疗总有效率,增强抗炎作用,使得患者体内 PCT、IL–6 等炎症因子水平显 著降低,减轻病情严重程度,更好的改善患者临床症状。

    Abstract:

    AbstractObjective To study the clinical effect of Dachengqi Decoction Reyanbao combined with Xuebijing in the treatment of patients with sepsis (stasis internal resistance syndrome) and the impact on procalcitonin (PCT) and interleukin-6 (IL–6). Methods A total of 100 patients with sepsis (internal resistance to blood stasis) who were admitted to the Third People's Hospital of Fujian University of Traditional Chinese Medicine from March 2019 to March 2021 were selected as the research objects, and were divided into the control group and observation group using by random number table method. The control group (50 cases, 3 cases of shedding) were given conventional therapy, and the observation group (50 cases, 2 cases of shedding) were given the treatment of Dachengqi Decoction Reyanbao combined with Xuebijing on the basis of the control group. The clinical effect on the two groups of patients and inflammatory factor indicators (PCT, IL-6) were observed and analyzed. Results The total effective rate of treatment in the observation group was 85.42%, which was higher than 65.96% in the control group. The difference was statistically significant (P < 0.05); The comparison of PCT and IL-6 between the two groups before treatment was not statistically significant (P > 0.05). After treatment, the PCT and IL-6 levels of the observation group were lower than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion In the clinical treatment of patients with sepsis (stasis toxin internal resistance), administering Dachengqi Decoction reyanbao external application combined with Xuebijing treatment can improve the total effective rate of treatment, enhance the anti-inflammatory effect, and make the levels of inflammatory factors such as PCT and IL–6 are significantly reduced, reducing the severity of the disease, and better improving the clinical symptoms of patients.

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  • 收稿日期:2021-09-28
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  • 在线发布日期: 2023-07-20
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