摘要
目的 :探讨中医辨证分型治疗全身炎症反应综合征患者的疗效。方法 :5 6例患者随机分为治疗组(33例 )和对照组 (2 3例 ) ,治疗组采用辨证分型中药 +西药常规治疗 ,分为邪在气分、邪正相争型和邪在气营、正虚邪恋型 ,分别用白虎汤和清营汤加味。对照组仅用常规治疗。比较两组疗效。结果 :两组治疗 7d后呼吸频率、心率、白细胞计数均较治疗前明显降低 (P均 <0 .0 5 ) ,体温、呼吸频率、心率和白细胞计数恢复正常的时间治疗组明显短于对照组 (P均 <0 .0 5 )。发展为多脏器功能障碍的病例辨证治疗组明显少于对照组 (15 .2 % ,5 / 33例 ;比 4 7.8% ,11/ 2 3例 ,P<0 .0 5 )。结论 :中医辨证分型治疗对全身炎症反应综合征有明显疗效。
Objective: To investigate the clinical effects of traditional Chinese medicine syndrome differ classification on systemic inflammatory response syndrome(SIRS).Methods: Fiftysix cases were randomly divided into treatment group (33 cases) and control group(23 cases). Treatment group was treated with (traditional) Chinese herbs and routine western medicine treatment, and it was divided into two kinds of type by (syndrome) differ classification, pathogens at the Qiphase and Qipathogens conflicting type(邪在气分, 邪正相搏型), pathogens at Qiphase and Yingphase, deficienty of healthy energy and evil invading type(邪在气营,正虚邪恋型),and they were treated with Baihu decoction (白虎汤) and Qingying decoction(清营汤) (respectively). The control group was only treated with conventional therapy. The curative effect was (compared) (between) two groups. Results: Clinical symptoms were improved significantly in treated group than those in the control group. The respiratory rate, heart rate, white blood cell counts in the two groups after (7day) (treatment) were decreased significantly compared with those before treatment (all P<0.05). The recovery times of temperature, respiratory rate, heart rate and white blood cell counts were shorter than those of (control) (group)(all P>0.05). The cases of multiple organ dysfunction syndrome were less in treatment group than that of control group. Conclusion: Traditional Chinese medicine syndrome differ classification and typing treatment has a good effect on SIRS.
出处
《中国中西医结合急救杂志》
CAS
2004年第4期245-247,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
关键词
全身炎症反应综合征
辨证分型
疗效观察
systemic inflammatory response syndrome
traditional Chinese medicine syndrome (differ classification) and typing
clinical observation
