健脾益气法对ARDS患者胃肠功能的干预调节及预后影响的研究

发布时间：2018-05-09 02:30

  本文选题：急性呼吸窘迫综合症 + 胃肠功能障碍　； 参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:观察运用健脾益气法治疗ARDS患者胃肠功能障碍的疗效以及改善患者预后的效果,并探讨健脾益气法改善ARDS患者胃肠功能及呼吸功能的作用机理。方法:将60例ARDS胃肠功能障碍患者随机分为治疗组和对照组,每组各30例。治疗组在西医常规治疗的基础上加用中药健脾益气汤治疗,对照组则给予西医常规治疗,疗程为7天。比较治疗前后APACHEⅡ评分、中医症候评分、胃肠功能障碍评分、Murray肺损伤评分以及动脉血氧分压、血氧饱和度、氧合指数等血气指标的变化情况,并比较两组患者机械通气时间及治疗效果。结果:治疗组治疗前后APACHEⅡ评分、中医症候评分、胃肠功能障碍评分、Murray肺损伤评分以及血气指标组内比较,P0.01,有显著统计学差异;对照组治疗前后APACHEⅡ评分、中医症候评分、胃肠功能障碍评分、Murray肺损伤评分以及血气指标组内比较,P0.05,有统计学差异。治疗后各指标组间比较,P0.05,有统计学差异;两组机械通气时间和治疗效果比较,P0.05,有统计学差异。结论:运用健脾益气法治疗ARDS患者胃肠功能障碍的同时,还能改善患者的呼吸功能,减少机械通气时间,提高治疗效果,改善预后。
[Abstract]:Objective: to observe the effect of invigorating spleen and invigorating qi on gastrointestinal dysfunction in patients with ARDS and to explore the mechanism of improving gastrointestinal function and respiratory function of ARDS patients by invigorating spleen and invigorating qi. Methods: 60 ARDS patients with gastrointestinal dysfunction were randomly divided into treatment group and control group with 30 cases in each group. The treatment group was treated with traditional Chinese medicine Jianpi Yiqi decoction on the basis of routine western medicine, while the control group was treated with routine western medicine for 7 days. The changes of APACHE 鈪，

本文编号：1864177