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乌司他丁联合胸腺肽对脓毒症患者心肺功能及谵妄的影响及分析

Effect and analysis of ulinastatin combined with thymosin on cardiopulmonary function and delirium in sepsis patients.

作者信息

Huanling Shi, Rongju Lv, Min Ji

机构信息

Department of Orthopedics, Shandong Laiwu Steel Group Co. Limited Hospital, Shandong, PR China.

出版信息

Pak J Pharm Sci. 2019 May;32(3 Special):1281-1284.

Abstract

The aim of this study was to explore the clinical effect of ulinastatin combined with thymosin in patients with sepsis and its influence on cardiopulmonary function and delirium. Sixty-eight sepsis patients were enrolled as study subjects. The patients were randomly divided into a symptomatic treatment group (n=34) and a combined treatment group (n=34) on the basis of random number table. The two groups were first operated and then, the symptomatic treatment group was given symptomatic support treatment, whilst the combined treatment group was treated with ulinastatin and thymosin on the prerequisite of the symptomatic treatment group. After 7 days of treatment, the evaluation of the curative effect was performed, followed by the comparison of the cardiopulmonary function, immune level and safety between the two groups of patients. The cardiac index and oxygenation index of the combined treatment group were higher than those of the symptomatic treatment group 7 days after treatment (P<0.05). Whereas, the levels of plasma D-dimer and cTnI were lower than those of the symptomatic treatment group (P<0.05). In addition, CD3+, CD4, CD4/CD8+ levels of the combined treatment group were higher than those of the symptomatic treatment group 7 days after treatment (P<0.05). On the contrary, CD8+ levels of the combined treatment group were lower than those of the symptomatic treatment group 7 days after treatment. There was no significant (P>0.05) difference in drug safety between the two groups during treatment.

摘要

本研究旨在探讨乌司他丁联合胸腺肽对脓毒症患者的临床疗效及其对心肺功能和谵妄的影响。选取68例脓毒症患者作为研究对象。根据随机数字表将患者随机分为对症治疗组(n = 34)和联合治疗组(n = 34)。两组先行手术,之后,对症治疗组给予对症支持治疗,联合治疗组在对症治疗组的基础上给予乌司他丁和胸腺肽治疗。治疗7天后,进行疗效评估,随后比较两组患者的心肺功能、免疫水平及安全性。治疗7天后,联合治疗组的心指数和氧合指数高于对症治疗组(P < 0.05)。而血浆D - 二聚体和肌钙蛋白I水平低于对症治疗组(P < 0.05)。此外,治疗7天后,联合治疗组的CD3 +、CD4、CD4/CD8 +水平高于对症治疗组(P < 0.05)。相反,治疗7天后,联合治疗组的CD8 +水平低于对症治疗组。治疗期间两组药物安全性差异无统计学意义(P > 0.05)。

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