脓毒症休克中医证型与急性肾损伤相关研究

Study on TCM Syndromes of Septic Shock and Acute Renal Injury

[目的]研究脓毒症休克中医证型与急性肾损伤的相关性。[方法]使用问卷调查方法,将71例住院患者按证候分为热证组、瘀证组、虚证组。观测一般生命体征、化验室相关指标、肾动脉血流动力学检查。[结果]热证初起以热势高为主要临床表现,瘀证表现为高炎症指标,虚证则低血压和少尿明显,肾功能较差,合并组织低灌注,肾血流动力学更不稳定。[结论]虚证脓毒症休克更容易合并急性肾损害。

[Objective] To study the correlation between TCM syndromes of septic shock and acute renal injury. [Methods] A total of 71 hospitalized patients were divided into heat syndrome group, blood stasis group and deficiency syndrome group according to syndrome. Observation of general vital signs, laboratory-related indicators, renal artery hemodynamics. [Results] The heat syndrome was mainly developed with high fever as the main clinical manifestation. The blood stasis syndrome showed high inflammatory index, the hypotension was hypotension and the oliguria was obvious, the renal function was poor, the combined tissue was low perfusion, the renal hemodynamics was more Unstable. [Cbnelusion] Deficiency sepsis shock is more likely to merge acute kidney damage.