血必净注射液联合CRRT 治疗脓毒症合并多器官功能障碍临床研究
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Clinical Study on Xuebijing Injection Combined with CRRT for Sepsis Complicated with Multiple Organ Dysfunction
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    摘要:

    目的:观察血必净注射液联合连续性肾脏替代疗法(CRRT) 治疗脓毒症合并多器官功能障碍的临床疗效。方法:选取100 例脓毒症合并多器官功能障碍患者,按随机数字表法分为观察组与对照组各50 例。观察组给予血必净注射液联合CRRT治疗,对照组仅给予CRRT 治疗,2 组均治疗1 周。比较2 组临床疗效;比较2 组治疗前后降钙素原(PCT)、C-反应蛋白(CRP)、血乳酸(LAC) 水平,以及急性生理学及慢性健康状况评分系统Ⅱ(APACHEⅡ)、序贯器官衰竭评估(SOFA) 与生活质量评估量表(SF-36) 评分。结果:观察组总有效率98.00%,高于对照组86.00% (P<0.05)。治疗后,2 组CRP、PCT、LAC 水平均较治疗前降低(P<0.05),观察组CRP、PCT、LAC 水平均低于对照组(P<0.05)。治疗后,2 组APACHEⅡ、SOFA评分均较治疗前降低(P<0.05),观察组APACHEⅡ、SOFA 评分均低于对照组(P<0.05)。治疗后,2 组社会功能、生理职能、精神健康、生理机能、一般健康状况、情感职能、躯体疼痛及精力评分均较治疗前升高(P<0.05),观察组上述SF-36 各项细则评分均高于对照组(P<0.05)。结论:血必净注射液联合CRRT 治疗脓毒症合并多器官功能障碍,可提高临床疗效,降低炎症因子水平,改善患者的健康状况,提高其生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Xuebijing injection combined with continuous renal replacement therapy(CRRT) for sepsis complicated with multiple organ dysfunction. Methods:A total of 100 cases of patients with sepsis complicated with multiple organ dysfunction were selected and divided into the observation group and the control group according to the random number table method, with 50 cases in each group. The observation group was treated with Xuebijing injection combined with CRRT,and the control group was simply treated with CRRT. Both groups were treated for one week. The levels of procalcitonin(PCT), C- reactive protein(CRP), blood lactate(LAC), and the scores of Acute Physiology and Chronic Health Evaluation Ⅱ(APACHEⅡ),Sequential Organ Failure Assessment(SOFA) and 36- Item Short Form Health Survey(SF- 36) before and after treatment and the clinical effects in the two groups were compared. Results: The total effective rate was 98.00% in the observation group,higher than that of 86.00% in the control group(P<0.05). After treatment,the levels of CRP,PCT and LAC in the two groups were decreased when compared with those before treatment (P<0.05),and the levels of CRP,PCT and LAC in the observation group were lower than those in the control group(P<0.05). After treatment,the scores of APACHEⅡ and SOFA in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of APACHEⅡ and SOFA in the observation group were lower than those in the control group(P<0.05). After treatment, the scores of social function, physiological role, mental health, physiological function, general health status,emotional function,physical pain and vigor in the two groups were increased when compared with those before treatment(P<0.05), and the above scores in SF- 36 in the observation group were higher than those in the control group(P<0.05). Conclusion: Xuebijing injection combined with CRRT for sepsis complicated with multiple organ dysfunction can improve the clinical effect,health status of the body and quality of life,and reduce the levels of inflammatory factors.

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陈钢强,王剑荣.血必净注射液联合CRRT 治疗脓毒症合并多器官功能障碍临床研究[J].新中医,2022,54(4):98-101

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  • 在线发布日期: 2022-02-24
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