世界中医药

目的：探讨中西医结合治疗重度烧伤脓毒症的临床效果。方法：选取2013年7月至2015年10月收治的80例重度烧伤脓毒症患者，按照随机抽样方法将其分为观察组和对照组2组，每组40例患者。对照组给予抗感染、液体复苏、肠内外营养支持、纠正水电解质及酸碱平衡紊乱等对症治疗措施，观察组在对照组基础上给予中成药静脉滴注联合中药方剂口服治疗。对比观察2组患者经过治疗后的实验室指标、有效率等。结果：治疗前后2组患者的CRP、TNF-α、IL-6、LPS均有改善，观察组明显优于对照组，差异有统计学意义（P<0.05）；观察组总有效率（92.5%）高于对照组（77.5%），差异有统计学意义（P<0.05）。结论：中西医结合治疗重度烧伤脓毒症的临床效果优于单纯采用西医治疗，并且安全性好，治疗效果佳。

English Summary:

To explore the clinical effect of integrated Chinese and western medicine in treatment of severe burn sepsis.Methods:A total of 80 cases of severe burn sepsis patients admitted during July 2013 to December 2015 were divided into observation group and control group according to the random sampling method，40 cases in each group.Patients in the control group were given anti-infection，fluid resuscitation，enteral and parenteral nutrition support，and treatment to correct water，electrolyte and acid-base balance disorders and so on，the observation group was treated with Chinese medicine intravenous drip combined with Chinese decoction on the basis of control group treatment.The clinical symptoms and laboratory indexes，effective rate of the two groups were observed and compared.Results:Before and after treatment，the CRP，TNF alpha，IL-6 and LPS were improved in both two groups.While the observation group had better results than the control group with significant differences(P<0.05)； the total effective rate of observation group(92.5%)was higher than that of the control group(77.5%)，the difference was statistically significant(P<0.05)； and two groups showed no adverse reactions.Conclusion:The clinical effect of integrated Chinese and western medicine in treatment of severe burn sepsis is better than that of simple western medicine treatment also with less adverse reactions.

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