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目的观察中西医结合诊治脓毒症(风温病·邪陷肺卫证)患者的临床疗效。方法 50例患者按照随机数字表法分为对照组与治疗组各25例,对照组采用西医常规治疗,治疗组在对照组基础上加予中医集束治疗,检测治疗7 d后各项目变化。结果治疗后两组患者急性生理学及慢性健康状况(APACHEⅡ)评分、C反应蛋白(CRP)、中医证候评分、肿瘤坏死影子-α(TNF-α)、白细胞介素-6(IL-6)、退热时间相比治疗前均明显改善(P<0.05),治疗组明显优于对照组(P<0.05)。结论中西医结合治疗能显著改善患者临床症状,其机制可能与抑制过度的炎症反应相关。
Objective To observe the clinical efficacy of integrated traditional Chinese and western medicine in the diagnosis and treatment of sepsis (air temperature disease, evil trap lung Wei card) patients. Methods Fifty patients were divided into control group and treatment group according to the random number table method, 25 cases in each group. The control group was treated by conventional western medicine. The treatment group was treated with Chinese medicine bundling on the basis of the control group. Results After treatment, APACHEⅡ, CRP, TCM syndrome score, tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6) (P <0.05). The treatment group was significantly better than the control group (P <0.05). Conclusion Integrative treatment can significantly improve the clinical symptoms of patients, the mechanism may be related to inhibition of excessive inflammatory response.