Emergency Department, Beijing Chaoyang Hospital, Capital Medical University, No. 8 Workers' Stadium South Road, Beijing 100020, China.
Evid Based Complement Alternat Med. 2014;2014:949254. doi: 10.1155/2014/949254. Epub 2014 Mar 23.
The treatment effects of Xuebijing (XBJ) injection in severe septic patients with disseminated intravascular coagulation (DIC) were investigated in this study. 171 severe septic patients with DIC were divided into the control group (n = 83) or intervention group (n = 88). Routine therapies were administered in both groups, and XBJ injection was administered additionally in the intervention group. Incidence of DIC, clinical severity scores, and coagulation parameters at 7 days after administration of XBJ injection were compared between the two groups, and short-term prognosis was evaluated by 28-day mortality. Compared with the control group, incidence of DIC in the intervention group was significantly lower at 7 days after administration of XBJ injection (P < 0.001). In addition, differences of platelet count and prothrombin time were significantly greater in the intervention group than in the control group (P all <0.05), and similar results were also found for differences of the Mortality in Emergency Department Sepsis score and Acute Physiology and Chronic Health Evaluation II score (P all <0.05). Furthermore, 28-day mortality was significantly lower in the intervention group (P = 0.034). These results demonstrate that XBJ injection can effectively treat DIC caused by severe sepsis and improve short-term prognosis of severe septic patients with DIC.
本研究旨在探讨血必净注射液(XBJ)治疗伴有弥散性血管内凝血(DIC)的严重脓毒症患者的疗效。将 171 例伴有 DIC 的严重脓毒症患者分为对照组(n = 83)和干预组(n = 88)。两组患者均给予常规治疗,干预组患者加用血必净注射液治疗。比较两组患者给药后 7 天的 DIC 发生率、临床严重程度评分和凝血参数,并通过 28 天死亡率评估短期预后。与对照组相比,干预组患者给药后 7 天的 DIC 发生率显著降低(P < 0.001)。此外,干预组患者的血小板计数和凝血酶原时间差异显著大于对照组(P 均<0.05),急诊脓毒症死亡率评分和急性生理学与慢性健康状况评分系统 II 评分的差异也有类似的结果(P 均<0.05)。而且,干预组患者的 28 天死亡率显著降低(P = 0.034)。这些结果表明,血必净注射液可有效治疗严重脓毒症引起的 DIC,并改善伴有 DIC 的严重脓毒症患者的短期预后。