陕西中医2024，Vol.45Issue(8)：1070-1073,4.DOI:10.3969/j.issn.1000-7369.2024.08.013
温阳利水法治疗感染性休克液体复苏后患者体液潴留临床研究
Clinical study on the treatment of fluid retention after fluid resuscitation for septic shock based on warming yang to promote diuresis method
摘要
Abstract
Objective:To analyze the clinical effect of warming yang to promote diuresis method in the treatment of fluid retention after fluid resuscitation for septic shock.Methods:Eighty patients with septic shock who developed fluid retention after fluid resuscitation were selected.They were divided into the control group(40 patients treated with western medicine)and the observation group(40 patients treated with modified Zhenwu decoction on the basis of the treatment of control group).Therapeutic effects,TCM syndrome score,central venous pressure(CVP),oxy-genation index(PaO2/FiO2),inferior vena cava(IVC)diameter,and respiratory variability index(RVI)were com-pared between the two groups.Results:The total effective rate of treatment and TCM syndrome scores in the obser-vation group were better than those in the control group(all P<0.05).T1,T2 and T3 after fluid resuscitation,CVP in the observation group was lower than that in the control group,and PaO2/FiO2 was higher than that in the control group(all P<0.05).After treatment,RVI of the observation group was higher than that of the control group,and the minimum diameter of IVC(IVCmin)was smaller than that of the control group(all P<0.05).Conclusion:Zhen-wu decoction is effective in the treatment of patients with fluid retention after fluid resuscitation for septic shock.It can improve the patients'TCM symptoms and volume status.关键词
感染性休克/液体复苏/体液潴留/温阳利水法/真武汤/中医证候积分Key words
Septic shock/Fluid resuscitation/Fluid retention/Warming yang to promote diuresis/Zhenwu de-coction/TCM syndrome score分类
医药卫生引用本文复制引用
薛敏,晏莉,杨芳,王俊..温阳利水法治疗感染性休克液体复苏后患者体液潴留临床研究[J].陕西中医,2024,45(8):1070-1073,4.基金项目
四川省中医药管理局科研项目(2021MS309) （2021MS309）
