Effect of Qing Re Xiao Du Soup Combined with Phentolamine on Immune Inflammation and Hemodynamics in Patients with Severe Sepsis
DONG Hai-sheng, YU Chao-chun, LIN Jian,et al
Shanghai The Hospital of Shanghai Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200082, China
Abstract:【Objective】To explore the effect of Qing Re Xiao Du Soup (dissolving decoction) combined with Phentolamine on immune inflammation and hemodynamics in patients with severe sepsis. 【Methods】A total of 96 patients with severe sepsis were random divided into two groups with 48 cases in each group. Patients in the control group were treated with Phentolamine injections were administered on the basis of routine treatment, while patients in the observation group were treated with Qing Re Xiao Du Soup on the basis of phentolamine injections. The clinical efficacy, immune inflammation index, hemodynamic index and adverse reactions of the two groups were recorded and compared. 【Results】The total effective rate was 97.9% (47/48) in the observation group, which was higher than 85.4% (41/48) in the control group (P<0.05). After treatment, levels of CD4+, CD8+, IL- 6, CRP and PCT in the observation group were improved significantly better than those in the control group (P <0.01). After treatment, the cardiac index (CI), extravascular lung water index (EVLWI), systemic vascular resistance index (SVRI), and intrathoracic blood volume index (ITBVI) were significantly improved in both groups (P<0.05). The improvement of each index in the observation group was significantly better than that in the control group (P<0.05). There were no adverse reactions during the treatment period.【Conclusion】 Qing Re Xiao Du Soup combined with phentolamine is effective in the treatment of severe sepsis and can obviously improve the immune inflammatory reaction and hemodynamic index of the patients.
董海生, 于朝春, 林坚, 何小云. 清热消毒汤灌肠联合酚妥拉明治疗重症脓毒血症患者的疗效及对相关指标的影响[J]. 医学临床研究, 2019, 36(3): 455-457.
DONG Hai-sheng, YU Chao-chun, LIN Jian,et al. Effect of Qing Re Xiao Du Soup Combined with Phentolamine on Immune Inflammation and Hemodynamics in Patients with Severe Sepsis. JOURNAL OF CLINICAL RESEARCH, 2019, 36(3): 455-457.
[1] 陈佑生,魏蕾.自拟清热解毒汤保留灌肠联合乌司他丁治疗重症肺炎合并脓毒症疗效及对凝血纤溶系统及免疫炎性反应影响[J].现代中西医结合杂志,2017,26(35):3949-3951. [2] 吴广平,张敏州,孔祥照.从“五脏相关学说”探讨脓毒症心功能不全的辨治思路[J].环球中医药,2013,(z2):276-277. [3] Dellinger RP, Levy MM, Rhodes A, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock:2012[J].Crit Care Med,2013,41(2):580-637. [4] 温加特,贝内特.希氏内科学[M].19版.北京:世界图书出版社,1995:789-793. [5] 秦克,黄丹,赵碧双.乌司他丁对重症脓毒血症患者心肺功能及免疫功能改善的影响[J].临床肺科杂志,2017,22(12):2190-2193,2198. [6] 孟祥忠,张晓宁,朱宇, 等.重症脓毒症休克患者免疫状况的临床分析[J].实用临床医药杂志,2018,(1):4-6. [7] 李兰,陈立,黄瑞峰, 等.直肠滴入通腑理肺汤对严重脓毒症/ 多器官功能障碍综合征患者胃肠功能调节作用的临床研究[J].中国中西医结合急救杂志,2012,(4):209-212. [8] 付素珍,马骏,孙杰, 等.血必净注射液联合血液净化治疗对脓毒血症疗效及免疫调节影响[J].环球中医药,2013,(z1):93. [9] 杨巍,李雪斌,周燕, 等.酚妥拉明对重症脓毒症患者血流动力学的影响[J].中华医学杂志,2017,97(5):338-342.