上海针灸杂志2024，Vol.43Issue(7)：769-773,5.DOI:10.13460/j.issn.1005-0957.2024.07.0769
"老十针"为主治疗脓毒症合并急性胃肠损伤的临床研究
Clinical study on sepsis complicated with acute gastrointestinal injury by"old ten needles"mainly
摘要
Abstract
Objective To observe the clinical efficacy of"old ten needles"with conventional drugs in the treatment of sepsis complicated with acute gastrointestinal injury(AGI).Method A total of 66 patients with sepsis complicated with AGI were randomly divided into an observation group and a control group,33 cases in each group.The control group was treated according to the SEPSIS 3.0 treatment protocol,while the observation group was treated with"old ten needles"on the basis of the control group.Before and after the treatment,the bowel sound grading,AGI grading,acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ)scores and inflammatory indexes[procalcitonin(PCT),C-reactive protein(CRP)]were observed in both groups.Results After treatment,the differences of bowel sound grading and AGI grading of the two groups were statistically significant when compared with those of the same group before treatment(P＜0.05).The difference of bowel sound grading and AGI grading between the treatment group and the control group after treatment was statistically significant(P＜0.05).The APACHE Ⅱ score and PCT level of the treatment group decreased significantly compared with those of the control group,while the APACHE Ⅱ score,CRP and PCT level of the control group decreased significantly compared with those of the control group,and the differences were statistically significant(P＜0.05).There was no significant difference in APACHE Ⅱ score,CRP and PCT levels between the two groups after treatment(P＞0.05).Conclusion"Old ten needles"combined with conventional medication therapy can improve the gastrointestinal symptoms and promote the recovery of gastrointestinal function in patients with sepsis complicated with AGI.关键词
针刺疗法/老十针/脓毒症/急性胃肠损伤/针药并用/降钙素原/C-反应蛋白Key words
Acupuncture therapy/Old ten needles/Sepsis/Acute gastrointestinal injury/Combination of acupuncture and medication/Procalcitonin/C-reactive protein分类
医药卫生引用本文复制引用
廖丹,李建建,王静,吕晓松,何伟,张岩.."老十针"为主治疗脓毒症合并急性胃肠损伤的临床研究[J].上海针灸杂志,2024,43(7):769-773,5.基金项目
重庆市江津区中医药专项科研项目(ZYY2022012) （ZYY2022012）
