加味大黄牡丹汤对脓毒症血清促炎因子影响的干预研究中西医结合;临床专业论文.docxVIP

PAGE PAGE 10 Peony soup flavored rhubarb intervention study on the effects of sepsis, serum proinflammatory cytokine Abstract Objective: To observe flavored rhubarb peony soup Conventional Western intervention pro-inflammatory cytokines in the serum of sepsis. Methods: 40 cases met the inclusion criteria of sepsis were randomly divided into treatment and control groups.By treatment group, 20 cases of flavored rhubarb, peony soup (rhubarb 10g, the Peony 10g, peach kernel 15g, mirabilite 6g, melon kernel 10g, ginseng 10g, gardenia 10g, habitat 10g, barley 10g, citrus aurantium 10g, licorice root 6g)Dose for the daily one, and conventional Western medicine treatment(After diagnosis of patients were treated with early fluid resuscitation, anti-infective therapy, adrenocorticotropic hormone, nutritional support, when necessary, for blood purification, ventilator support, treatment, symptomatic treatment of its rescue measures and emergency drugs and routine use)The control group received conventional Western medical treatment in the first 7 days after treatment, respectively, 14 days of the observed indicators of detection. Results: 1 before and after group in patients with treatment of the APACHEⅡ score there are significant differences。before treatment， the difference between the groups in patients of APACHE Ⅱ score simila（r P 0.05）；14 days later, the reduction about APACHEⅡ score , to control groups ,treatment groups had statistical significance.2 two groups of patients before and after blood TNF-and IL-6 values have varying degrees of reduction (P0.05) difference was statistically significant, suggesting that the intervention effect of sepsis serum inflammatory factors exist in the treatment group. Conclusion:1 In traditional Chinese medicine and Western medicine therapy combined with traditional Chinese medicine on Rhubarb Peony Decoction in the treatment of sepsis, can significantly improve the clinical symptoms, signs, enhance clinical cur