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《清熱通腑法治療膿毒癥的臨床觀察》由會員上傳分享，免費在線閱讀，更多相關內(nèi)容在學術(shù)論文-天天文庫。
1、提要目的：評價清熱通腑法輔助治療膿毒癥毒熱內(nèi)盛證臨床療效并初步探討其作用機理，以進行探索關于中西醫(yī)結(jié)合治療的膿毒癥新途徑。方法：選擇2011年4月－2012年4月收治于山東省中醫(yī)院急診科、ICU病房的60例膿毒癥毒熱內(nèi)盛證或瘀毒內(nèi)阻證患者，隨機分為治療組（30例，采用西醫(yī)常規(guī)治療+五味消毒飲合小承氣湯加減組方中藥），對照組（30例，采用西醫(yī)常規(guī)治療），以進行前瞻性對照研究。分別于入選時及療程結(jié)束時進行一般生命體征檢查、APACHEⅡ評分、抽取靜脈血測定觀察指標，用以觀察治療前后各項指標的變化情況。采用SPSS17.0軟件進
2、行統(tǒng)計分析。結(jié)果：經(jīng)治療7天后，治療組與對照組比較存在限制性差異（P＜0.05）。同時，APACHEⅡ積分、體溫（T）、心率（P）、呼吸頻率（R）、白細胞總數(shù)（WBC）、中性粒細胞總數(shù)（NEU）、中性粒細胞百分比（NEU%）、C反應蛋白（CRP）明顯降低（P＜0.05或P＜0.01）結(jié)論：清熱通腑法以五味消毒飲合小承氣湯加減組方對膿毒癥有較好的干預治療作用。關鍵詞：膿毒癥；清熱通腑法；五味消毒飲；小承氣湯；臨床療效ClinicalresearchoftherapyofQingretongfutotreatSepsisSpe
3、ciality：InternalMedicineofTraditionalChineseMedicineAuthor：YanSuTutor：Prof.YoukeAbstractObjective：ThisresearchapplythetherapyofQingretongfutotreatpatientswithSepsis，whichmayprovideanewwayforthetreatmentofSepsiswiththecombinationofChinesemedicineandwesternmedicine.
4、Methods:OurstudywasperformedattheAffiliatedHospitalofShandongUniversityofTCM.Weconductedaprospectivecase-controlstudyon60SepsispatientsinICUfromApril2011toApril2012.The60patientswererandomlydividedintothetreatmentgroupandthecontrastgroup.Thecontrastgroupwasreceive
5、dcommonwesternmedicinetherapyandtheotherreceivedQingretongfutherapyexceptforthecommonwesternmedicinetherapy.OnthefirstdaybeforestartsoftreatmentandDay7afterthetreatment,werecordedtheAPACHEⅡscore,andtheinvestigatedparameters.AlldatawereanalyzedwithSPSS17.0.Results:
6、Oneweeklater,wefoundtreatmentgroupcomparedwithcontrastgroup,whichwassignificantdifference(P＜0.05).Atthesametime,wefoundthistherapycansignificantlydecreasedthelevelofAPACHEscore,T,P,R,WBC,Neu,Neu%,CRP.Comparedwithcontrastgroup,thereweresignificantdifference(P＜0.05)
7、.Conclusions:QingretongfutherapycombinedwithnormalwesternmedicinecaneffectivelytreatthepatientswithSepsis.KeywordsSepsis;Qingretongfutherapy;WuweixiaoduTang;XiaochengqiTang;Clinicaleffect目錄引言.........................................................................
8、......................................................1臨床研究.............................................................................................
