【摘要】 目的观察针刺足三里对脓毒症患者炎症因子及预后影响。方法 108例入院诊断为脓毒症患者,随机分为对照与针刺组各54例,两组均常规抗感染及器官功能监测及支持治疗,针刺组在此基础上加用针刺足三里治疗,两组分别治疗3 d。两组治疗前后测定炎症因子血清降钙素原(PCT)、血乳酸、急性生理与慢性健康评分(APACHEⅡ)、全身性感染相关器官功能衰竭评分(SOFA)。结果与治疗前相比,治疗后两组的血清PCT及血乳酸表达水平及APACHEⅡ分值、SOFA评分明显降低(P <0.05或P <0.01),针刺组治疗后各指标低于同期对照组(P <0.05)。结论针刺足三里治疗可能通过调控机体炎症反应过程,减轻炎症因子释放,改善脓毒症患者预后。更多还原

【Abstract】 Objective:To observe the effect of Zusanli acupuncture on inflammatory factors and prognosis in patients with Sepsis. Methods:108 patients were randomly divided into the control group and the acupuncture group,54 cases in each. Both groups received routine anti-infection and organ function monitoring and supportive treatment. The acupuncture group added Zusanli acupuncture on that basis. The levels of PCT,lactic acid,APACHE II and SOFA were measured before and after treatment. Results:Compared with before treatment,the levels of PCT and lactic acid in serum,APACHE II score and SOFA score in the acupuncture group were significantly decreased(P < 0.01),and lower than those in the control group(P < 0.05). Conclusion:Acupuncture at Zusanli may improve the prognosis of sepsis patients by regulating the inflammatory reaction process and reducing the release of inflammatory factors.更多还原