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中国医药导刊 ›› 2025, Vol. 27 ›› Issue (3): 277-281.

• 临床医药 • 上一篇    下一篇

参附注射液联合艾灸治疗阳气暴脱型脓毒性休克的疗效观察

张冰怡, 刘倩倩, 田源*, 周小燕   

  1. 河北省沧州中西医结合医院急诊科,河北 沧州 061000
  • 收稿日期:2024-10-12 修回日期:2025-01-24 出版日期:2025-03-28 发布日期:2025-03-28
  • 基金资助:

    河北省中医药管理局中医药类科学研究课题计划项目(2023449)

Observation of the Therapeutic Effect of Shenfu Injection Combined with Moxibustion on Septic Shock Caused by Yang Qi Burst

  1. Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine Hebei Cangzhou 061000, China
  • Received:2024-10-12 Revised:2025-01-24 Online:2025-03-28 Published:2025-03-28

摘要:

目的:探讨参附注射液联合艾灸治疗对阳气暴脱型脓毒性休克的临床疗效。方法:选取我院74例阳气暴脱型脓毒性休克患者随机分为两组,各37例,对照组予以西医常规治疗,观察组在对照组基础上加用参附注射液及艾灸疗法。两组患者均治疗7 d后评定疗效。比较两组患者治疗前后血清肿瘤坏死因子(TNF-α)、白细胞介素-6IL-6)、降钙素原(PCT)等炎症因子水平及序贯性器官功能衰竭(SOFA)评分、急性生理与慢性健康状况(APACHE II)评分,比较两组患者使用血管活性药物总剂量、重症医学科(ICU)住院天数及治疗效果。结果:治疗后观察组的血清TNF-αIL-6PCT水平、SOFA评分、APACHE II评分均低于对照组(P<0.05)。观察组使用血管活性药物总剂量及ICU住院天数低于对照组(P<0.05)。观察组治疗总有效率为86.5%,对照组为62.2%P<0.05)。结论:参附注射液联合艾灸治疗阳气暴脱型脓毒性休克可有效降低炎症因子水平,改善脏器功能,减少血管活性药物使用剂量及入住ICU天数,增加疗效。

  

关键词: 参附注射液, 艾灸, 脓毒性休克

Abstract:

Objective: To exploring the clinical efficacy of Shenfu injection combined with moxibustion in the treatment of septic shock caused by Yang Qi burst.Methods: 74 patients with yang gas burst type septic shock in our hospital were randomly divided into two groups with 37 cases in each group. The control group received conventional Western medicine treatment while the observation group received additional treatment with Shenfu injection and moxibustion therapy on the basis of the control group. Both groups of patients were evaluated for efficacy after 7 days of treatment. Compare the levels of inflammatory factors such as tumor necrosis factor alpha TNF-α), interleukin-6 IL-6), and PCT in the serum of two groups of patients before and after treatment as well as the Sequential Organ Failure SOFA score and Acute Physiology and Chronic Health Status APACHE II score. Compare the total dose of vasoactive drugs used ICU stay and treatment efficacy between the two groups.Results: After treatment the serum levels of TNF-α IL-6 PCT SOFA score and APACHE II score in the observation group were significantly lower than those in the control group P<0.05. The total dose of vasoactive drugs and ICU stay in the observation group were significantly lower than those in the control group P<0.05. The total effective rate of the observation group was 86.5% while that of the control group was 62.2% P<0.05.Conclusion: The combination of Shenfu injection and moxibustion can effectively reduce the levels of inflammatory factors improve organ function reduce the dosage of vasoactive drugs and ICU stay and increase therapeutic efficacy in the treatment of Yang Qi burst type septic shock.


Key words:  ,  , Shenfu Injection , Moxibustion , Septic shock

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