Zhao Guo-Zhen, Guo Yu-Hong, Li Bo, Hu Jing, Chen Teng-Fe, Di Hao-Ran, Shao Fei, Liu Qing-Quan
Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010,China.
Beijing University of Chinese Medicine, Beijing 100029, China.
Zhongguo Zhong Yao Za Zhi. 2017 Apr;42(8):1423-1429. doi: 10.19540/j.cnki.cjcmm.2017.0038.
Sepsis brings great burden to the industry of health care and national economy, and antibiotics used in anti-infective treatment will cause the emergence of drug-resistant bacteria, adverse reactions, and reduce the efficacy and quality of life. However, with the deepening of the study of traditional Chinese medicine treatment of sepsis, in reducing the production of drug-resistant bacteria, changing the drug resistance of drug-resistant bacteria, preventing multiple infection, response to inflammatory response and immune damage, treatment of gastrointestinal dysfunction and coagulation disorders, TCM is gradually exerting its advantages. In recent years, with the continuous development of clinical research, the curative effect of traditional Chinese medical way is widely recognized, especially Xuebijing injection. In addition, the clinical research of Chinese medicine, acupuncture, acupoint sticking is more and more. Its play an important role to reduce the mortality of patients with sepsis, reduce inflammatory indexes, blood coagulation index. However, the pathophysiology of sepsis is not clear, the illness progress rapidly and the problem of drug-resistant bacteria resistant, our task is still arduous. Looking forward to the emergence of higher quality research, and looking forward to more individualized and refined treatment programs.
脓毒症给医疗保健行业和国民经济带来了巨大负担,而抗感染治疗中使用的抗生素会导致耐药菌的出现、不良反应,并降低疗效和生活质量。然而,随着中医治疗脓毒症研究的深入,在减少耐药菌产生、改变耐药菌耐药性、预防多重感染、应对炎症反应和免疫损伤、治疗胃肠功能障碍和凝血紊乱方面,中医正逐渐发挥其优势。近年来,随着临床研究的不断开展,中医治疗方式的疗效得到广泛认可,尤其是血必净注射液。此外,中医、针灸、穴位贴敷的临床研究越来越多。其在降低脓毒症患者死亡率、降低炎症指标、凝血指标方面发挥着重要作用。然而,脓毒症的病理生理学尚不清楚,病情进展迅速且存在耐药菌耐药问题,我们的任务仍然艰巨。期待出现更高质量的研究,期待有更多个体化、精细化的治疗方案。