在脓毒症患者胃肠功能紊乱的穴位上应用西尼煎剂:临床研究。

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Medicine Pub Date : 2024-11-01 DOI:10.1097/MD.0000000000040464
Yuteng Du, Jingjing Hu, Pingping Zhang, Ting'ai Ge, Yidan Zhou
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引用次数: 0

摘要

胃肠功能紊乱是败血症患者普遍存在的并发症。研究穴位四逆汤对败血症患者胃肠功能紊乱的临床疗效。将 75 例因败血症导致胃肠功能紊乱的患者随机分为 2 组。治疗组接受常规西医治疗,并在穴位上配合四逆汤,对照组在穴位上使用滑石粉。两组治疗均持续 7 天。观察急性生理学和慢性健康评估 II 评分、器官功能衰竭顺序评估评分、机械通气时间、重症监护室(ICU)住院时间、肠内营养耐受性评分、腹围、胃残容积、肠鸣音和血清指数的变化。治疗后,与对照组相比,治疗组的肠内营养耐受性评分、腹围、胃残余容积、乳酸和白细胞介素-6水平明显降低。治疗组的肠鸣音更活跃,动情素水平更高。此外,治疗组的重症监护室住院时间明显短于对照组。我们的研究结果表明,在有胃肠功能障碍的败血症患者的穴位上应用西尼煎剂可有效增强胃肠功能,从而缩短重症监护室的住院时间,改善患者的预后。
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Application of Sini Decoction at acupoint on gastrointestinal dysfunction in patients with sepsis: A clinical study.

The occurrence of gastrointestinal dysfunction is widely recognized as a prevalent complication in patients with sepsis. To investigate clinical effect of Sini Decoction at acupoint on gastrointestinal dysfunction in sepsis patients. Seventy-five patients with gastrointestinal dysfunction caused by sepsis were randomly divided into 2 groups. Treatment group received routine Western medicine treatment combined with Sini Decoction at acupoint, while control group treated with talcum powder at acupoint. Treatments in both groups lasted 7 days. Changes in the acute physiology and chronic health evaluation II score, sequential organ failure assessment score, mechanical ventilation duration, the length of Intensive Care Unit (ICU) stay, enteral nutrition tolerance scores, abdominal circumference, gastric residual volume, bowel sounds, and serum index were observed. After treatment, the enteral nutrition tolerance score, abdominal circumference, gastric residual volume, and levels of lactate and interleukin-6 were significantly lower in the treatment group compared to the control group. Bowel sounds were more active and motilin levels were higher in the treatment group. Additionally, the length of ICU stay was significantly shorter in the treatment group than in the control group. Our findings demonstrated that the application of Sini Decoction at acupoints in sepsis patients with gastrointestinal dysfunction can effectively enhance gastrointestinal function, leading to a reduction in ICU stay duration and an improvement in patients' prognosis.

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来源期刊
Medicine
Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
4342
审稿时长
>12 weeks
期刊介绍: Medicine is now a fully open access journal, providing authors with a distinctive new service offering continuous publication of original research across a broad spectrum of medical scientific disciplines and sub-specialties. As an open access title, Medicine will continue to provide authors with an established, trusted platform for the publication of their work. To ensure the ongoing quality of Medicine’s content, the peer-review process will only accept content that is scientifically, technically and ethically sound, and in compliance with standard reporting guidelines.
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