【摘要】 目的观察益气清热化湿法对脓毒症湿热蕴脾型胃肠功能障碍的临床疗效。方法将60例脓毒症胃肠功能障碍患者随机分为治疗组和对照组两组各30例。对照组予西医常规治疗,治疗组在对照组基础上加益气温胆汤治疗。疗程均为7 d。观察比较两组治疗前后进行胃肠功能障碍评分、APACHEⅡ评分、中医证候积分及C反应蛋白(CRP)、降钙素原(PCT)、白细胞计数(WBC)、中性细胞比率(NEU%)值的变化。结果两组治疗前胃肠功能障碍评分、APACHEⅡ评分、中医证候积分、CRP、PCT、WBC、NEU%值差别不大(均P>0.05)。治疗后两组胃肠功能障碍评分、APACHEⅡ评分、中医证候积分、CRP、PCT、WBC、NEU%值均较治疗前下降(均P<0.01),且治疗组改善优于对照组(均P<0.01)。结论益气清热化湿法治疗脓毒症湿热蕴脾型胃肠功能障碍疗效显著。更多还原

【Abstract】 Objective: To observe the clinical effect of Yiqi Qingre Huashi method on gastrointestinal dysfunction in sepsis type of dampness and heat in spleen. Methods: 60 patients were randomly divided into two groups,30 cases in the treatment group for the routine treatment of Western medicine plus Yiqi Wendan Tang,the control group routine treatment of Western medicine. The treatment course lasted for 7 days. Before and after treatment,gastrointestinal dysfunction was scored,and APACHE score and C reactive protein(CRP) were detected and compared. Results: Two groups of gastrointestinal dysfunction score,APACHE score and CRP valuedecreased significantly compared with before treatment(P < 0.05),compared with the control group,the treatment group decreased significantly(P < 0.05),the treatment group than the control group(P < 0.05). Conclusion: The curative effect of Yiqi Qingre Huashi method on gastrointestinal dysfunction in sepsis type of dampness and heat in spleen is obvious.更多还原