清瘟败毒饮对脓毒症患者血乳酸和胱抑素C影响的临床观察

【作者】 冷建春； 张晓云； 刘鑫；

【机构】 成都中医药大学附属医院； 成都中医药大学；

【摘要】 目的观察中药清瘟败毒饮对脓毒症患者血乳酸和胱抑素C的影响。方法将75例脓毒症患者,随机分为清瘟败毒饮中西医结合治疗组(38例,治疗组)和西医治疗组(37例,对照组),治疗组在西医常规治疗方法基础上加清瘟败毒饮治疗,对照组予西医常规方法治疗。观察2组患者治疗7天的临床疗效,以及治疗3天、7天后血清胱抑素C和血乳酸水平变化情况。结果治疗组在提高临床控制率、改善中医症候积分和APACHEⅡ评分优于对照组(P<0.05),并有显著降低血清胱抑素C和血乳酸水平作用。结论:应用清瘟败毒饮中西医结合治疗脓毒症可降低患者血乳酸水平,保护肾脏等重要脏器,因而可进一步提高临床疗效。更多还原

【Abstract】 Objective:To observe the influence of qingwenbaiduyin on the clearance rate of cys-C and blood lactate in patients with sepsis.M ethod:75 cases of sepsis patients in our hospital,were randomly divided into the application of Qingwenbaiduyin in the combination therapy group(treatment group,n=38) and Western medicine group(control group,n=37).The treatment group treated by routine western medicine plus Qingwenbaiduyin,the control group were treated with routine therapy,to evaluate the therapeutic effect,changes of cys-C and blood lactate clearance rate after treatment 3,7 days.Result:In the aspect of significant efficiency,improve the TCM syndrome score and APACHE Ⅱ score,the treatment group was better than the control group(P<0.05),in the lower cys-C and blood lactate level,the treatment group has an advantage.Conclusion:Qingwenbaiduyin combined with western medicine in treatment of sepsis,can further enhance the clinical curative effect,protect the function of important organs.更多还原