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通腑泻热方治疗外科腹部疾病伴全身炎症反应综合征的疗效临床观察

[Clinical observation on effect of tongfu xiere recipe in treating surgical abdominal diseases accompanied with systemic inflammatory response syndrome].

作者信息

Xie Xiao-hua, Cheng Yu-xing, Zhou Wen-gao

机构信息

First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2006 Jul;26(7):594-6.

Abstract

OBJECTIVE

To observe the effect of Tongfu Xiere Recipe (TXR) on surgical abdominal diseases accompanied with systemic inflammatory response syndrome (SIRS).

METHODS

Forty-six patients in the post-operational stage were treated by basic therapy, including conventional treatment and antibiotics applying, and combined use of TXR, and compared with the 43 patients treated by basic therapy alone as the control group.

RESULTS

Compared with the control group, the incidence of complications in the treatment group was significantly lower (P<0.01). The incidence of multiple organ dysfunction syndrome (MODS) and the mortality in the treatment group showed an decreasing tendency. Moreover, levels of plasma endotoxin, TNF-alpha, IL-6 and IL-8 in the treatment group after treatment decreased significantly, while IL-2 level increased (P < 0.01), and showed a significant difference (P < 0.01) as compared with those in the control group.

CONCLUSION

The combined therapy can decrease the levels of blood endotoxin and inflammation promoting cytokine and increase the level of cytokine that directly related with immune function to regulate immunity and inhibit the inflammatory reaction, and furthermore, to prevent MODS and decrease the mortality of patients with surgical abdominal diseases accompanied SIRS.

摘要

目的

观察通腑泻热方(TXR)对伴有全身炎症反应综合征(SIRS)的腹部外科疾病的疗效。

方法

46例术后患者采用包括常规治疗及应用抗生素在内的基础治疗,并联合使用通腑泻热方,与43例仅采用基础治疗的患者作为对照组进行比较。

结果

与对照组相比,治疗组并发症发生率显著降低(P<0.01)。治疗组多器官功能障碍综合征(MODS)发生率及死亡率呈下降趋势。此外,治疗组治疗后血浆内毒素、TNF-α、IL-6和IL-8水平显著降低,而IL-2水平升高(P<0.01),与对照组相比差异有统计学意义(P<0.01)。

结论

联合治疗可降低血内毒素及促炎细胞因子水平,提高与免疫功能直接相关的细胞因子水平,调节免疫、抑制炎症反应,进而预防MODS,降低伴有SIRS的腹部外科疾病患者的死亡率。

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