摘要
目的:观察中医益气活血法治疗危重症患者的临床疗效。方法:依据《中医临床诊疗术语》气虚证及血瘀证的证候诊断标准,将90例诊断为气虚血瘀证的危重症患者按2∶1随机分为治疗组和对照组,两组一般治疗相同。治疗组加用参麦注射液及丹参粉针剂治疗,15 d为1个疗程。结果:治疗组治疗15 d后临床疗效总有效率为85.00%;治疗前后中医证候评分分别为(38.63±9.08)分与(24.27±7.43)分(P<0.05),急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)分别为(18.11±4.54)分与(12.47±1.64)分(P<0.05),血小板计数(PLT)分别为(198.00±54.16)×109/L与(174.00±40.82)×109/L(P<0.05);血细胞比容(HCT)分别为0.340±0.049与0.440±0.057(P<0.05),红细胞平均血红蛋白(M CH)分别为(34.00±3.10)pg与(31.00±1.83)pg(P<0.05)。以上各指标治疗组治疗后与对照组治疗后比较差异均有显著性(P均<0.05),治疗组疗效优于对照组。结论:中医益气活血法对危重症患者的气虚血瘀证有较好的治疗效果。
Objective.. To observe the clinical therapeutic effects of supplementing Qi and activating blood circulation method （益气活血法） for critically ill patients. Methods： Ninety critically ill patients with Qi-deficiency （气虚） and blood stasis （血瘀） syndromes who diagnosed according to standard in a book named clinical diagnosis and treatment nomenclature of traditional Chinese medicine were randomly divided into the the treatment group （n=60） and the control group （n=30）. The general therapy of the two groups was the same.Additionally, the treatment group was administered Shenmai injection （丹参注射液） and Danshen power （丹参粉针剂）, 15 days were as one therapeutic course. Results： In the treatment group,the total effective rate of clinical therapeutic effects was 85.00 % before and after treatment, traditional Chinese medical scores was 38. 63±9.08 vs. 24.27±7.43, acute physiology and chronic health evaluation I （APACHE I ） 18.11± 4.54 vs. 12.47±1.64, platelet （PLT） count （198. 00±54.16）× 10^9/L vs. （174.00± 40. 82） × 10^9/L, haematocrit （HCT） 0. 340 ±0. 049 vs. 0. 440 ± 0. 057, mean cell hemoglobin （MCH） （34.00 ±3.10） pg vs. （31.00±1.83） pg. The differences of above parameters were significant between the two groups, and they were superior in the treatment group to those in the control group （all P〈0. 05）. Conclusion： Supplementing Qi and activating blood circulation method has good effects on critically ill patients with Qi-deficiency and blood stasis syndromes.
出处
《中国中西医结合急救杂志》
CAS
2006年第4期228-230,共3页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
关键词
益气活血法
危重症
气虚血瘀证
supplementing Qi and activating blood circulation method critically ill Qi-deficiency and blood stasis syndromes
