CAJ | 학술논문

目的：探讨益气滋阴类中药对创伤后机体代谢的影响。方法：选取82例创伤后盗汗、自汗、纳差、心悸、面色无华、神疲少寐等症状的患者，随机分为两组，中药组42例，对照组40例。中药组患者口服我院自制的益气滋阴类中药“汗停冲剂”；对照组对于一般患者不进行特殊处理，对于其中症状较重，出汗过多，出现水、电解质失衡者进行补液等对症处理。测定两组患者的儿茶酚胺、甲状腺素及胰高血糖素水平，并于治疗结束后评定两组患者的临床疗效。结果：①血液学指标治疗前两组患者儿茶酚胺、T4及GLC水平比较，差异无统计学意义（P>0.05）；治疗3d后中药组儿茶酚胺及GLC水平均低于对照组，T4水平高于对照组，差异有统计学意义（P<0.05）。②临床疗效中药组疗效明显优于对照组，差异有统计学意义（P>0.05）。结论：益气滋阴类中药可有效缓解创伤后患者出现的盗汗、自汗等代谢异常症状，其机制可能与滋阴类中药调节儿茶酚胺、GLC 及 T4的分泌有关。
목적：탐토익기자음류중약대창상후궤체대사적영향。방법：선취82례창상후도한、자한、납차、심계、면색무화、신피소매등증상적환자，수궤분위량조，중약조42례，대조조40례。중약조환자구복아원자제적익기자음류중약“한정충제”；대조조대우일반환자불진행특수처리，대우기중증상교중，출한과다，출현수、전해질실형자진행보액등대증처리。측정량조환자적인다분알、갑상선소급이고혈당소수평，병우치료결속후평정량조환자적림상료효。결과：①혈액학지표치료전량조환자인다분알、T4급GLC수평비교，차이무통계학의의（P>0.05）；치료3d후중약조인다분알급GLC수평균저우대조조，T4수평고우대조조，차이유통계학의의（P<0.05）。②림상료효중약조료효명현우우대조조，차이유통계학의의（P>0.05）。결론：익기자음류중약가유효완해창상후환자출현적도한、자한등대사이상증상，기궤제가능여자음류중약조절인다분알、GLC 급 T4적분비유관。
Objective: To study effects of Qiqi Ziyin kinds of TCM medicine on posttraumatic metabolism. Methods: 82 patients with posttraumatic night sweat, spontaneous perspiration, Nacha, palpitations, Mianse Wuhua and Shenpi Shaomei were randomly divided into the TCM medicine group (42 cases) and the control group (40 cases). The TCM medicine group was given Hanting Chongji made in our hospital; the control group symptomatic treatment for patients with severe symptoms. Catecholamines levels, thyroxine levels, glucagon levels and clinical efficacy in two groups were recorded. Results: I.Hematology Catecholamines, T4 and GLC levels in two groups were compared, the difference was not statistically significant. In 3 days of treatment, Catecholamines and GLC levels in the control were higher; T4levels were lower; the difference was statistically significant (P<0.05). II.Clinical effects of the TCM medicine was better, the difference was statistically significant (P>0.05). Conclusion: The Yiqi Ziyin kinds of TCM medicine can relieve metabolic abnormalities after trauma; its mechanism maybe related Catecholamines, T4 and GLC.