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目的:观察大承气汤加减保留灌肠治疗脓毒症对血乳酸水平的影响。方法:本研究采用随机、对照的试验方法,将58例脓毒症患者随机分为两组,治疗组29例,对照组29例。治疗组采用西医脓毒症指南方案治疗和大承气汤加减保留灌肠治疗;对照组采用西医脓毒症指南方案治疗和清洁灌肠,观察两组病例治疗前治疗中、治疗后的血乳酸水平的变化以及中医疗效。结果:加减大承气汤能中医临床症状,并改善血乳酸水平。结论:大承气汤加减保留灌肠治疗具有改善脓毒症患者血乳酸水平的作用。
Objective: To observe the effect of Dachengqi decoction on retention of blood lactate in patients with sepsis. Methods: In this study, a randomized controlled trial of 58 patients with sepsis were randomly divided into two groups, 29 cases in the treatment group and 29 cases in the control group. The treatment group was treated with Western guidelines for sepsis and Dachengqi Decoction plus retention enema. The control group was treated with western medicine sepsis guidelines and cleansing enema. The levels of blood lactate before and after treatment in both groups were observed Changes and Chinese medicine curative effect. Results: Modified Dachengqi Decoction can clinical symptoms and improve blood lactate levels. Conclusion: Dachengqi decoction with retention enema treatment can improve blood lactic acid levels in septic patients.