扶正祛邪法治疗急性呼吸窘迫综合征40例临床观察

Clinical efficacy of vital qi- strengthening and pathogen- eliminating therapy for acute respiratory distress syndrome: a report of 40 cases

目的:观察扶正祛邪法治疗急性呼吸窘迫综合征(ARDS)临床疗效。方法:将40例ARDS患者随机分为治疗组和对照组各20例。对照组采用西医常规治疗,治疗组在对照组治疗基础上联用扶正祛邪经验方治疗。治疗结束后比较两组ARDS评分、APACHEII评分、氧合指数、C反应蛋白水平。结果:两组ARDS评分、APACHEII评分、氧合指数、C反应蛋白治疗前后组内比较及治疗后组间比较,差异均有统计学意义(P<0.05)。结论:扶正祛邪经验方能提高ARDS的治疗效果。

Objective ： To observe the clinical efficacy of vital qi - strengthening and pathogen - eliminating therapy for acute respiratory distress syndrome （ ARDS ）. Methods ： Forty ARDS patients were randomly divided into treatment group （n = 20） and control group （n = 20）. The control group received conventional Western medicine treatment, while the treatment group received experienced prescription for strengthening vital qi and eliminating pathogens in addition to the conventional Western medicine treatment. After treatment, the two groups were comparedin terms of ARDS score ,Acute Physiology and Chronic Health Evaluation II （APACHE II） score ,oxygenation index （OI）, and C -reactive protein （CRP） level. Results ：Mter treatment, both groups showed significant improvements in ARDS score, APACHE II score, OI, and CRP level （ P 〈 0. 05 ） , and all these indices showed significant differ- ences between the two groups （ P 〈 0. 05 ）. Conclusion ： Experienced prescription for strengthening vital qi and elimi- nating pathogens can improve the treatment outcomes of ARDS.