液体复苏后24 h胃管注入大黄附子汤联合西医基础治疗对急诊ICU脓毒症患者胃肠功能改善的作用

发布时间：2018-05-13 07:19

本文选题：脓毒症 + 大黄附子汤　；参考：《中国全科医学》2017年S1期

【摘要】：目的研究大黄附子汤对急诊ICU脓毒症患者的胃肠功能疗效。方法选取2012年5月—2015年5月河南省商丘市第一人民医院脓毒症患者72例,根据随机数表法将患者分为试验组和对照组,入住ICU病房后均给予急性胃肠功能损伤(AGI)分级评估,对照组给予常规治疗,试验组在对照组基础上注入大黄附子汤。观察治疗前后AGI分级评估;ICU病房住院时间、住院总时间、机械通气时间、使用血管活性药物或正性肌力药物时间、新发生感染率、28 d全因病死率的影响因素。结果两组治疗前AGI分级情况比较,差异无统计学意义(P0.05),治疗后试验组AGI分级情况比较,差异有统计学意义(P0.05)。两组的ICU病房住院时间和住院总时间、使用血管活性药物或正性肌力药物时间比较,差异无统计学意义(P0.05);试验组机械通气时间、新发生感染率均低于对照组,差异有统计学意义(P0.05);大黄附子汤对28 d全因病死率无影响。结论大黄附子汤有效改善胃肠功能。
[Abstract]:Objective to study the effect of rhubarb aconite decoction on gastrointestinal function in emergency patients with ICU sepsis. Methods from May 2012 to May 2015, 72 patients with sepsis in the first people's Hospital of Shangqiu City, Henan Province were randomly divided into experimental group and control group. The patients were assessed by acute gastrointestinal function injury (ABI) after admission to ICU ward. The control group was given routine treatment, and the experimental group was injected with rhubarb aconite decoction on the basis of the control group. The duration of hospitalization, total hospitalization time, mechanical ventilation time, the time of using vasoactive drugs or positive muscle strength drugs, and the factors influencing the mortality of the patients with new infection rate were observed before and after treatment. Results there was no significant difference in AGI grading between the two groups before treatment, but there was no significant difference in AGI grading between the two groups after treatment. There was no significant difference between the two groups in ICU ward hospitalization time and total hospitalization time, the time of using vasoactive drugs or positive muscle drugs, the time of mechanical ventilation and the rate of newly occurring infection in the test group were lower than those in the control group. The difference was statistically significant (P 0.05), and the fatality rate of 28 days was not affected by Radix et Rhizoma Aconiti decoction. Conclusion Rhubarb aconite decoction can effectively improve gastrointestinal function.
【作者单位】：河南省商丘市第一人民医院;
【分类号】：R459.7

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