调气通腑法治疗脓毒症胃肠功能障碍胃热腑实证的临床探究.pdfVIP

提 要 目的：通过对脓毒症胃肠功能障碍胃热腑实证患者的临床观察，探讨调气通腑法 对本病的临床疗效。方法：本课题观察了临床 60 例各种原因导致脓毒症胃热腑实证 的患者，以常规药物治疗为对照组，中药加常规药物治疗为治疗组，观察患者确诊后 及治疗后相关指标和评分的变化；比较两组患者临床疗效；结果：两组病例症候积分 和APACHEⅡ评分与治疗前相比均有所下降，且有显著性差异（P0.05），与对照组比 较，治疗组下降程度显著(P0.05）；治疗组有效率高于对照组（P0.05）；两组病例 与治疗前相比 PCT 值均有所下降，且有显著差异（P0.05），与对照组比，治疗组下 降程度显著（P0.05）；治疗组并发症的发生率显著低于对照组。结论：调气通腑法 可改善脓毒症胃肠功能障碍胃热腑实证患者的各项临床症状及实验室指标，提高脓毒 症的治疗有效率，改善预后，具有一定的临床应用价值。 关键词 调气通腑；脓毒症胃肠功能胃热腑实；气机逆乱； The Clinical Research of Treating Stomach-heat and Fu Dysfunction of gastrointestinal Resulted in Sepsis by the Method of gas regulating purgative Speciality：Chinese and Western medicine combined with clinical Tutor: Kong Li Author ：Wei Jin Ling Abstract Objective: Through clinical observation of patients with sepsis who have stomach –heat and fu dysfunction of gastrointestinal ，to explore the method of gas regulating purgative for the clinical efficiency of this disease.Methods: The subjects of clinical observation of 60 cases of all causes of sepsis in patients with conventional drug therapy as the control group, traditional Chinese medicine plus conventional drug therapy for the treatment group were observed in patients diagnosed during and after treatment for heat-phlegm of spleen and stomach dysfunction resulted in sepsis;Observe the changes of correlative indexes of patients who have e definite diagnose and after treatment ;compared two groups of clinical efficiency in patients after the treatment. Results: Two cases of symptom score, APACHEⅡscore and the PCT value and so on compared with those before treatment have decreased, and there is a significant difference (P0.05); compared with the control group after treatment, a drop of the treatment group th