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《燥濕泄熱法治療膿毒癥濕熱蘊(yùn)脾型胃腸功能障礙的臨床研究》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、提要目的：通過(guò)對(duì)膿毒癥濕熱蘊(yùn)脾型胃腸功能障礙患者的臨床觀察，探討燥濕泄熱法對(duì)本病的臨床療效。方法：將2011年5月至2011年12月山東中醫(yī)藥大學(xué)附屬醫(yī)院山東省中醫(yī)院、山東省千佛山醫(yī)院急癥及ICU收治的符合膿毒癥胃腸功能障礙診斷標(biāo)準(zhǔn)，經(jīng)中醫(yī)辨證，確定為濕熱蘊(yùn)脾證，確診符合納入標(biāo)準(zhǔn)的患者60例納入研究。研究采用隨機(jī)、單盲、對(duì)照的臨床試驗(yàn)設(shè)計(jì)。入選患者隨機(jī)分為西醫(yī)常規(guī)治療加王氏連樸飲組（治療組）和西醫(yī)常規(guī)治療組（對(duì)照組），于治療前、治療后進(jìn)行中醫(yī)癥狀積分和APACHEⅡ評(píng)分、降鈣素原（PCT）值的檢測(cè)并進(jìn)行比較。結(jié)果：兩組病例癥候積分和APACHEⅡ評(píng)分與
2、治療前相比均有所下降，且有顯著性差異（P<0.05），與對(duì)照組比較，治療組下降程度顯著(P<0.05）；兩組病例與治療前相比PCT值均有所下降，且有顯著差異（P<0.05），與對(duì)照組比，治療組下降程度顯著（P<0.05）；治療組有效率高于對(duì)照組。結(jié)論：燥濕泄熱法可以明顯改善膿毒癥濕熱蘊(yùn)脾型胃腸功能障礙患者的臨床癥狀，控制患者的炎癥活動(dòng)，提高治療有效率，改善患者預(yù)后，具有一定的臨床應(yīng)用價(jià)值。關(guān)鍵詞燥濕泄熱法膿毒癥濕熱蘊(yùn)脾型胃腸功能障礙臨床療效Dampnessheatreleasemethodintreatmentofsepsisofdamp-heatre
3、tentionspleentypegastrointestinaldysfunctionclinicalresearchSpeciality:InternalMedicineofTCMAuthor:cuiqiTutor:Prof.KongLiAbstractObjective:Throughtosepsisofdamp-heatretentionspleentypeofgastrointestinaldysfunctioninpatientswithclinicalobservationofdampness,heatreleaselawofthedis
4、easeclinicalcurativeeffect.Methods:In2011Mayto2011DecemberinShandongProvincialTraditionalChineseMedicalHospital,AffiliatedHospitalofShandongUniversityofTraditionalChineseMedicineShandongprovinceQianfoHillhospitalA&EandICUwereconsistentwithsepsisdiagnosiscriterionofgastrointestin
5、aldysfunction,thedifferentiationoftraditionalChinesemedicine,identifiedasdamp-heatretentionspleensyndrome,diagnosedpatientswhomettheinclusioncriteriaof60patientsincludedinthestudy.Thestudyusedarandomized,singleblind,controlledclinicaltrialdesign.Selectedpatientswererandomlydivid
6、edintoroutinetreatmentofWesternmedicinecombinedwithWangevenparkDecoctiongroup(treatmentgroup)andconventionalwesternmedicinetreatmentgroup(controlgroup),beforetreatment,aftertreatmentofTCMsymptomscoreandAPACHEscore,procalcitonin(PCT)valuesofthedetectionandcomparison.Conclusion:Da
7、mpnessheatreleasemethodcanimprovesepsisdamp-heatretentionspleensyndrometypeofgastrointestinaldysfunctioninpatientswithclinicalsymptoms,controlofpatientswithinflammatoryactivity,improvethetreatmentefficiency,reducethemortalityrate,improvethe燥濕泄熱法治療膿毒癥濕熱蘊(yùn)脾型胃腸功能障礙的臨床研究prognosisofpa
8、tients,withsomeclinicalvalue.KeywordsDampnesshe
