医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2014年
16期
2107-2108
,共2页
严重脓毒症%活血化淤法
嚴重膿毒癥%活血化淤法
엄중농독증%활혈화어법
Severe sepsis%Promoting blood circulation and removing blood stasis
目的：研究活血化淤法辅助治疗严重脓毒症患者的临床疗效。方法：将60例符合纳入标准的严重脓毒症患者随机分为2组，治疗组30例采用西药常规疗法联合口服活血化淤汤剂治疗，对照组30例采用西药常规疗法治疗，疗程14d。比较2组治疗前、后中医证候疗效、APACHEⅡ评分、Marshall器官功能障碍评分的变化情况，比较2组病死率的差异。结果：治疗组中医证候疗效明显优于对照组（P＜0．05）；治疗后2组APACHEⅡ评分、Marshall器官功能障碍评分均较治疗前降低（P＜0．05），且治疗组APACHEⅡ评分及Marshall器官功能障碍评分降低幅度高于对照组（ P＜0．05）；治疗组28d病死率低于对照组。结论：活血化淤法辅助治疗严重脓毒症患者可更有效的改善患者临床症状，降低APACHEⅡ评分及Marshall器官功能障碍评分，降低病死率。
目的：研究活血化淤法輔助治療嚴重膿毒癥患者的臨床療效。方法：將60例符閤納入標準的嚴重膿毒癥患者隨機分為2組，治療組30例採用西藥常規療法聯閤口服活血化淤湯劑治療，對照組30例採用西藥常規療法治療，療程14d。比較2組治療前、後中醫證候療效、APACHEⅡ評分、Marshall器官功能障礙評分的變化情況，比較2組病死率的差異。結果：治療組中醫證候療效明顯優于對照組（P＜0．05）；治療後2組APACHEⅡ評分、Marshall器官功能障礙評分均較治療前降低（P＜0．05），且治療組APACHEⅡ評分及Marshall器官功能障礙評分降低幅度高于對照組（ P＜0．05）；治療組28d病死率低于對照組。結論：活血化淤法輔助治療嚴重膿毒癥患者可更有效的改善患者臨床癥狀，降低APACHEⅡ評分及Marshall器官功能障礙評分，降低病死率。
목적：연구활혈화어법보조치료엄중농독증환자적림상료효。방법：장60례부합납입표준적엄중농독증환자수궤분위2조，치료조30례채용서약상규요법연합구복활혈화어탕제치료，대조조30례채용서약상규요법치료，료정14d。비교2조치료전、후중의증후료효、APACHEⅡ평분、Marshall기관공능장애평분적변화정황，비교2조병사솔적차이。결과：치료조중의증후료효명현우우대조조（P＜0．05）；치료후2조APACHEⅡ평분、Marshall기관공능장애평분균교치료전강저（P＜0．05），차치료조APACHEⅡ평분급Marshall기관공능장애평분강저폭도고우대조조（ P＜0．05）；치료조28d병사솔저우대조조。결론：활혈화어법보조치료엄중농독증환자가경유효적개선환자림상증상，강저APACHEⅡ평분급Marshall기관공능장애평분，강저병사솔。
Objective :Observing the effectiveness of promoting blood circulation to remove blood stasis as adjuvant therapy in patients with severe sepsis .Methods :60 patients with severe sepsis meeting the inclusion criteria were ran-domly divided into two groups .In the treatment group ,30 cases were treated with routine therapy combined with oral blood circulation decoction treatment .30 cases in the control group were employed conventional western medicine thera-py .Both period of treatment was 14d .Some outcomes were compared before and after treatment of TCM syndrome in-cluding APACHE Ⅱ score ,Marshall organ dysfunction score changes and differences in mortality between the two groups .Results:TCM syndrome scores in the treatment group is apparently more than those in the control group (P<0 .05);after treatment APACHE Ⅱ score ,Marshall organ dysfunction score decreased in both of the groups (P<0.05) ,but there is significant difference between the two groups in this two indexes (P<0 .05) ,at last the mortality of the treatment group is lower than that of the control group after 28 days .Conclusion:Promoting blood circulation to re-move blood stasis as adjuvant therapy in patients with severe sepsis can improve the syndromes and lower APACHE Ⅱscore ,Marshall organ dysfunction score and mortality .
