首页|期刊导航|武警医学|采用参附注射液治疗脓毒症对相关临床指标的影响

采用参附注射液治疗脓毒症对相关临床指标的影响OACSTPCD

Effect of Shenfu injection on relevant indicators in patients with sepsis

中文摘要英文摘要

目的 探讨采用参附注射液治疗脓毒症对相关临床指标的影响.方法 选取 2017-10 至 2021-10 武警北京总队医院急诊医学科治疗后收住院的 60 例严重脓毒血症患者作为研究对象,随机分成观察组和对照组,每组 30 例.两组患者均按照指南给予补液扩容、抗感染等常规治疗措施.观察组在标准治疗的基础上,给予静脉滴注参附注射液治疗,1 次/d,7 d为1 个疗程,共治疗两个疗程.观察计录两组患者治疗前及住院治疗过程中血清CRP、PCT的变化,对治疗过程中APACHEⅡ评分、住院时间等进行对比分析.结果 观察组给予参附注射液治疗第 3、7、10、14 天,APACHEⅡ评分、SOFA评分、血清CRP和PCT浓度均显著低于对照组,差异有统计学意义(P<0.05);观察组患者总住院时间为(16.23±2.74)d,显著短于对照组[(21.67±3.52)d],差异有统计学意义(P<0.05).结论 采用参附注射液治疗脓毒症,可改善相关指标,临床效果显著.

Objective To observe the effect of Shenfu injection on relevant indicators in patients with sepsis.Methods A to-tal of 60 patients with severe sepsis admitted after treatment into the Emergency Medicine Department of a Grade-A hospital in Beijing from October 2017 to October 2021 were selected as the study objects and randomly divided into observation group and control group,with 30 cases in each group.Patients in both groups were given conventional treatment measures such as fluid replenishment,expan-sion and anti-infection according to the guidelines.Observation group was given intravenous infusion of Shenfu injection on the basis of standard treatment,once a day,7 days as a course of treatment,a total of two courses of treatment.The changes of serum CRP and PCT before treatment and during hospitalization of the two groups were observed,and the APACHEⅡ score and length of hospitaliza-tion during treatment were compared and analyzed.Results On the 3rd,7th,10th and 14th day of Shenfu injection treatment,A-PACHEⅡ score,SOFA score,serum CRP and PCT concentration in observation group were significantly lower than those in control group,with statistical significance(P<0.05).The total hospitalization time of observation group was(16.23±2.74)d,which was significantly shorter than that of control group[(21.67±3.52)d],and the difference was statistically significant(P<0.05).Conclusions The treatment of sepsis with Shenfu injection can improve the relevant indexes,and the clinical effect is remarkable.

何华亮;刘晶晶;王芬;李涛;王书升;徐虹;琚会军

100027,武警北京总队医院急诊医学科100027,武警北京总队医院急诊医学科100029,北京中医药大学第三附属医院内分泌科100027,武警北京总队医院急诊医学科100027,武警北京总队医院急诊医学科100027,武警北京总队医院急诊医学科100027,武警北京总队医院急诊医学科

临床医学

降钙素原C-反应蛋白参附注射液脓毒症

procalcitioninC-reactive proteinShenfu injectionsepsis

《武警医学》 2024 (10)

829-832,4

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