纯中医治疗感染及脓毒症的临床研究

Clinical Study on Treatment of Infection and Sepsis with Pure Traditional Chinese Medicine

目的:总结纯中医治疗感染及脓毒症的临床疗效。方法:收集2022年9月—2023年7月中医经典科收治的降钙素原(PCT)>2ng/mL、经纯中医治疗有效的感染及脓毒症住院患者42例的临床资料,包括一般资料、诊断、治疗方法,入院及出院时的炎症指标PCT、C反应蛋白(CRP)、血白细胞(WBC)及中性粒细胞比(N%),血培养结果等。全程未使用抗菌素。结果:经治疗后痊愈出院41例、好转出院1例。平均住院时间(5.57±2.70)d。所有患者入院第4天时炎症指标均明显下降,并存在显著性差异;出院时体温均恢复正常。结论:纯中医治疗可以有效控制感染及脓毒症。

Objective: To summarize the clinical efficacy of pure TCM in the treatment of infection and sepsis. Meth-ods: The clinical data of 42 hospitalized patients with infection and sepsis with procalcitonin (PCT)>2ng/mL and effec-tive pure TCM treatment admitted to the Department of Classical Chinese Medicine from September 2022 to July 2023 were collected, including general information, diagnosis, treatment methods, inflammatory indicators PCT, C-reactive protein (CRP), white blood cells (WBC) and neutrophil ratio (N%) at admission and discharge, blood culture results, etc. No antibiotics were used throughout the whole process. Results: After treatment, 41 cases were cured and discharged, and 1 case was discharged after improvement. The average length of hospital stay was (5.57±2.70) days. The inflam-matory indicators of all patients decreased significantly on the 4th day of admission, and there was a significant dif-ference;the body temperature returned to normal at discharge. Conclusion: Pure TCM treatment can effectively control infection and sepsis.