活血化淤法辅助治疗严重脓毒症的临床研究.pdfVIP

,. ßië5草回iP5iEH 201 4 征第27 辈辈第 1 6 卸 V0 1. 27 . No . 16. A111) 20 14 J M ecI T heor Prac . 2107 兔论著 活血化淤法辅助治疗严重服毒症的临床研究 宋轶群刘学政 天津中医药大学第一附属医院 300193 摘要 目的 :研究活血化淤法辅助治疗严重膝毒症患者的临床疗效。 方法 :将60 例符合纳入标准的严重除毒症患者 随机分为 2 组，治疗组 30 例采用西药常规疗法联合口服活血化淤汤剂治疗，对照组 30 例采用西药常规疗法治疗，疗 程 Hd。 比较 2 组治疗前、后中医证候疗效、APACHEII 评分、Marshall 器官功能障碍评分的变化情况，比较 2 组病死 率的差异。 给采:治疗组中医证候疗效明显优于对照组( P.O .05 ) ;治疗后2 组 APACHE II 评分、Marshall 器官功能 障碍评分均较治疗前降低(户0 .0日，且治疗组 APACHE II 评分及 Marshall 器官功能障碍评分降低幅度高于对照组 ( P.0 .05 ) ;治疗组 28d 病死率低于对照组。 结论:活血化淤法辅助治疗严重除毒症患者可更有效的改善患者临床症 状，降低 APACHE II 评分及Marshall 器官功能障碍评分，降低病死率。 关键词严重服毒症活血化淤法 中图分类号:R2-l2 文献标识码:A 文章编号:1001-7585 (2014 )11. 6-2107-02 oiniωI ()b;ervation 00 世.e Effect of Pn)JD)仙~BIω础。比u1ation 缸Jd RemoviI电 B灿灿S恼is for 世.eI油atnlent of 侃陀 Sep;is 销到NG Yiqun ,LIU Xæzber喀. First Teachi凡g Hosp ital οf Tianjin University of TCM ,Ti叫i凡 City 300193 A困1RACfOb;如笛ve :Observing the effectiveness of promOling b lood circulation to remove blood stasis as adjuvant therapy in patients with severe sepsis .Methods :60 patients with severe sepsis meeti ng the inclusion criteria were ran - domly divided into tw o groups . ln the treatment group , 30 cases w ere treated with routine th erapy comb ined with oral blood circulation decoction trealm ent .30 cases in th e control group were employed conventional west ern medj cine thera - py . Both period of treatment was Hd . Some outωmes wereωmpared before and after treatment of T CM syndrome in - cIuding A PACH E II sco re , Marshall organ dysfunction s∞re changes and djfferences in mortality between the tw o group s .R凶u11s :T CM syndrome scores in the treatment g ro up is apparently more than those in th e cont ro l group ( P. o.05 ) ;after trωtment APAC H E II scor