世界中医药
文章摘要
引用本文:沈洪丽 韩 玉 苗晓云 回 志 代庆春 张晓卫.血必净治疗脓毒症患者临床疗效观察[J].世界中医药,2013,8(1):.  
血必净治疗脓毒症患者临床疗效观察
Clinical Effectiveness and Impact of Xuebijing Injection on Inflammatory Cytokines of Septic Patients
投稿时间:2012-09-14  
DOI:10.3969/j.issn.1673-7202.2013.01.017
中文关键词:  脓毒症  TNF-α  IL-8  CRP  血必净注射液
English Keywords:Sepsis  Xuebijing Injection  TNF-α  IL-8  CRP
基金项目:
作者单位
沈洪丽 韩 玉 苗晓云 回 志 代庆春 张晓卫 沧州市中心医院重症医学科沧州061001 
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中文摘要:
      目的:观察中药血必净注射液对脓毒症治疗效果。方法:选脓毒症患者40例随机,分为2组。对照组和血必净组,每组20例。治疗组和对照组分别如何治疗,监测患者体温并分别于治疗前、治疗3d、治疗7d采静脉血检测血常规、C-反应蛋白(CRP)、TNF-α,IL-8。结果:2组患者治疗均有效,血必净组体温、白细胞计数较对照组水平下降,血TNF-α、IL-8及CRP浓度随病情好转,浓度随之下降,血必净组下降明显,28d病死率及住ICU时间较对照组下降。结论:中药血必净能够降低炎症介质水平,改善脓毒症预后,缩短住ICU时间,从而降低总住院费用。
English Summary:
      To investigate the clinical effectiveness of Xuebijing injection on septic patients. Methods:Forty patients were randomized to control group (n=20) and xuebijing group (n=20). Both groups were treated according to 2008 sepsis guideline. Xuebijing group added xuebijing 100mL + 0.9% NS 100mL, bid, 7days for one period. Body temperature was monitored and 3ml blood was collected before treatment, 3days and 7days after treatment and stored in -80℃. TNF-α, IL-8 and CRP were determined by the method of ELISA and immunoturbidimetry.Conclusion:Xuebijing injection can degrade inflammatory cytokines, improve sepsis prognosis, and reduce the length of ICU stay, so the expense of hospitalization can be decreased.
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