中西医结合临床治疗脓毒症的一点思考

Some thoughts on treating sepsis with integrated traditional Chinese and Western medicine

脓毒症是全球急危重症领域研究的热点与难点,尽管相关指南一再更新,但病死率居高不下。这促使西医研究思路由片面追求杀灭致病微生物转变为调节机体的免疫应答,由聚焦局部病理变化到关注全身器官的内在联系,并提出了肝肾综合征、心肾综合征、肺-肠轴等理论,这与中医整体观念一致。两种医学研究的领域以及追求的目标一致,治疗的对象一致,中西医结合治疗脓毒症具有重要的应用价值和广阔的发展空间。在脓毒症治疗过程中要充分利用现代技术,同时发挥中医药的优势,降低病死率,为保障人类健康贡献力量。

Sepsis is a hot and difficult research topic in the field of acute and critical care all over the world.Sepsis mortality remains high despite ongoing guideline updates.This situation has prompted the research thinking of Western medicine to change from one-sided pursuit of killing pathogenic microorganisms to regulating the body′s immune response,and change from focusing on local pathological changes to focusing on the internal connection of systemic organs.They put forward theories such as liver-renal syndrome,cardio-renal syndrome,and lung-gut axis,which are consistent with the overall concept of traditional Chinese medicine.The research fields,goals,and treatment objects of traditional Chinese medicine and Western medicine are the same,so Integrative traditional Chinese and Western medicine in the treatment of sepsis has important application value and broad development space.In the process of sepsis treatment,we must make full use of modern technology,and at the same time give full play to the advantages of traditional Chinese medicine,to reduce the fatality rate.Only in this way can we contribute to the protection of human health.