目的:探讨电腹针联合承气逐瘀汤灌肠治疗脓毒症(热毒瘀阻证)胃肠功能障碍患者的治疗效果。方法:将60例脓毒症(热毒瘀阻证)患者用中央随机系统分为观察组、对照组,每一组包含30名患者,两组在年龄、性别以及APACHEII评分方面都没有显示出...目的:探讨电腹针联合承气逐瘀汤灌肠治疗脓毒症(热毒瘀阻证)胃肠功能障碍患者的治疗效果。方法:将60例脓毒症(热毒瘀阻证)患者用中央随机系统分为观察组、对照组,每一组包含30名患者,两组在年龄、性别以及APACHEII评分方面都没有显示出统计学上的显著差异(P > 0.05)。对照组参考脓毒症治疗指南给予常规治疗和护理,观察组于常规治疗护理基础上加用电腹针联合承气逐瘀汤灌肠治疗,7 d为1个疗程。观察并比较两组施治前后的肠鸣音、腹围、APACHEII评分、SOFA评分、WBC、CRP、PCT等相应指标。结果:治疗7 d后两组主要指标均较前改善(P Objective: To explore the therapeutic effect of electro abdominal acupuncture combined with Chengqi Zhuyu Decoction enema in the treatment of patients with sepsis (heat toxicity and blood stasis syndrome) and gastrointestinal dysfunction. Method: Sixty patients with sepsis (heat toxin stasis syndrome) were divided into observation group and control group by central randomized system, with 30 patients in each group. There were no statistically significant differences in age, gender and APACHEII scores between the two groups (P > 0.05). The control group was given routine treatment and nursing according to the treatment guidelines for sepsis, and the observation group was treated with electro abdominal acupuncture combined with Chengqi Zhuyu Decoction on the basis of conventional treatment and nursing, with a course of 7 days. Intestinal sound, abdominal circumference, APACHE II score, SOFA score, WBC, CRP, PCT and other relevant indexes were observed and compared between the two groups before and after treatment. Result: After 7 days of treatment, the main indicators of both groups improved compared to before (P < 0.05), and the observation group was better than the control group (P < 0.05), and the observation group was better than the control group (P < 0.05). The comprehensive effective rate of the observation group was 90.00% higher than that of the control group (71.67%) (P < 0.05). Conclusion: On the basis of conventional treatment and nursing, electric abdominal acupuncture combined with Chengqi Zhuyu Tang enema has a better clinical effect than conventional western medicine in patients with sepsis (heat toxin stasis syndrome). The mechanism may be related to the information of pathogenic heat and dregs in patients with sepsis, which forms dry feces and obstructs the intestine. Electro abdominal acupuncture combined with Chinese medicine enema can help to excrete intestinal dross, prevent the accumulation of toxins and inflammatory mediators, and improve gastrointestinal dysfunction.展开更多
防风为我国传统药材,临床应用广泛。防风中的主要活性成分包括色原酮、香豆素、挥发油等。药理活性研究主要集中在解热、镇痛和抗炎等方面。对国内外近年来防风化学成分及药理作用方面的研究文献进行归纳阐述,并对今后的研究提出了几点...防风为我国传统药材,临床应用广泛。防风中的主要活性成分包括色原酮、香豆素、挥发油等。药理活性研究主要集中在解热、镇痛和抗炎等方面。对国内外近年来防风化学成分及药理作用方面的研究文献进行归纳阐述,并对今后的研究提出了几点思考和建议,旨在为道地药材防风的开发利用和深入研究提供理论参考。 Parsnips is a traditional medicine in China, which is widely used in clinic. The main active components of parsnip include chromone, coumarin, volatile oil and so on. Pharmacological activity studies mainly focus on antipyretic, analgesic and anti-inflammatory aspects. In this paper, the research literature on the chemical composition and pharmacological action of parsnips at home and abroad in recent years was summarized, and some thoughts and suggestions for future research were put forward, aiming at providing theoretical reference for the development and utilization of authentic medicinal material parsnips.展开更多
腹内高压是重症监护室患者常见的病理现象,因对腹内压相关知识掌握的缺乏、腹内压测量方法的不了解导致无法及时对腹内高压进行正确有效的诊疗,使其发展为腹腔间隔室综合征这一危重征象,因其危害不仅只会限于腹腔,它可以通过直接及间接...腹内高压是重症监护室患者常见的病理现象,因对腹内压相关知识掌握的缺乏、腹内压测量方法的不了解导致无法及时对腹内高压进行正确有效的诊疗,使其发展为腹腔间隔室综合征这一危重征象,因其危害不仅只会限于腹腔,它可以通过直接及间接的方式影响患者多个器官,造成患者发生多功能脏器障碍甚至衰竭,极大地增加患者死亡率。故笔者从腹内压研究的历史沿革,腹内高压与腹腔间隔室综合征的概述、原因、危害,腹内压的测量方式、针刺治疗腹内高压这六个方面展开综述,为临床诊治和相关研究做以参考,以期对重症监护病房常规测量、腹内压、及时对腹内高压进行诊治引起重视做出贡献。Intraabdominal hypertension is a common pathological phenomenon in patients in intensive care unit. Due to the lack of knowledge about intraabdominal pressure and the lack of understanding of the measurement methods of intraabdominal pressure, correct and effective diagnosis and treatment of intraabdominal hypertension cannot be performed in time, resulting in the development of abdominal compartment syndrome, a critical sign, because its harm is not limited to the abdominal cavity. It can affect multiple organs of patients through direct and indirect ways, resulting in multifunctional organ disorders and even failure of patients, greatly increasing the mortality of patients. Therefore, the author summarized the history of the study of intraabdominal pressure, the overview, causes and hazards of intraabdominal hypertension and abdominal compartment syndrome, the measurement methods of intraabdominal pressure, and the treatment of intraabdominal hypertension by acupuncture, so as to provide a reference for clinical diagnosis and treatment and related research, with a view to making contributions to the routine measurement, intraabdominal pressure and timely diagnosis and treatment of intraabdominal hypertension in intensive care units.展开更多
文摘目的:探讨电腹针联合承气逐瘀汤灌肠治疗脓毒症(热毒瘀阻证)胃肠功能障碍患者的治疗效果。方法:将60例脓毒症(热毒瘀阻证)患者用中央随机系统分为观察组、对照组,每一组包含30名患者,两组在年龄、性别以及APACHEII评分方面都没有显示出统计学上的显著差异(P > 0.05)。对照组参考脓毒症治疗指南给予常规治疗和护理,观察组于常规治疗护理基础上加用电腹针联合承气逐瘀汤灌肠治疗,7 d为1个疗程。观察并比较两组施治前后的肠鸣音、腹围、APACHEII评分、SOFA评分、WBC、CRP、PCT等相应指标。结果:治疗7 d后两组主要指标均较前改善(P Objective: To explore the therapeutic effect of electro abdominal acupuncture combined with Chengqi Zhuyu Decoction enema in the treatment of patients with sepsis (heat toxicity and blood stasis syndrome) and gastrointestinal dysfunction. Method: Sixty patients with sepsis (heat toxin stasis syndrome) were divided into observation group and control group by central randomized system, with 30 patients in each group. There were no statistically significant differences in age, gender and APACHEII scores between the two groups (P > 0.05). The control group was given routine treatment and nursing according to the treatment guidelines for sepsis, and the observation group was treated with electro abdominal acupuncture combined with Chengqi Zhuyu Decoction on the basis of conventional treatment and nursing, with a course of 7 days. Intestinal sound, abdominal circumference, APACHE II score, SOFA score, WBC, CRP, PCT and other relevant indexes were observed and compared between the two groups before and after treatment. Result: After 7 days of treatment, the main indicators of both groups improved compared to before (P < 0.05), and the observation group was better than the control group (P < 0.05), and the observation group was better than the control group (P < 0.05). The comprehensive effective rate of the observation group was 90.00% higher than that of the control group (71.67%) (P < 0.05). Conclusion: On the basis of conventional treatment and nursing, electric abdominal acupuncture combined with Chengqi Zhuyu Tang enema has a better clinical effect than conventional western medicine in patients with sepsis (heat toxin stasis syndrome). The mechanism may be related to the information of pathogenic heat and dregs in patients with sepsis, which forms dry feces and obstructs the intestine. Electro abdominal acupuncture combined with Chinese medicine enema can help to excrete intestinal dross, prevent the accumulation of toxins and inflammatory mediators, and improve gastrointestinal dysfunction.
文摘防风为我国传统药材,临床应用广泛。防风中的主要活性成分包括色原酮、香豆素、挥发油等。药理活性研究主要集中在解热、镇痛和抗炎等方面。对国内外近年来防风化学成分及药理作用方面的研究文献进行归纳阐述,并对今后的研究提出了几点思考和建议,旨在为道地药材防风的开发利用和深入研究提供理论参考。 Parsnips is a traditional medicine in China, which is widely used in clinic. The main active components of parsnip include chromone, coumarin, volatile oil and so on. Pharmacological activity studies mainly focus on antipyretic, analgesic and anti-inflammatory aspects. In this paper, the research literature on the chemical composition and pharmacological action of parsnips at home and abroad in recent years was summarized, and some thoughts and suggestions for future research were put forward, aiming at providing theoretical reference for the development and utilization of authentic medicinal material parsnips.
文摘腹内高压是重症监护室患者常见的病理现象,因对腹内压相关知识掌握的缺乏、腹内压测量方法的不了解导致无法及时对腹内高压进行正确有效的诊疗,使其发展为腹腔间隔室综合征这一危重征象,因其危害不仅只会限于腹腔,它可以通过直接及间接的方式影响患者多个器官,造成患者发生多功能脏器障碍甚至衰竭,极大地增加患者死亡率。故笔者从腹内压研究的历史沿革,腹内高压与腹腔间隔室综合征的概述、原因、危害,腹内压的测量方式、针刺治疗腹内高压这六个方面展开综述,为临床诊治和相关研究做以参考,以期对重症监护病房常规测量、腹内压、及时对腹内高压进行诊治引起重视做出贡献。Intraabdominal hypertension is a common pathological phenomenon in patients in intensive care unit. Due to the lack of knowledge about intraabdominal pressure and the lack of understanding of the measurement methods of intraabdominal pressure, correct and effective diagnosis and treatment of intraabdominal hypertension cannot be performed in time, resulting in the development of abdominal compartment syndrome, a critical sign, because its harm is not limited to the abdominal cavity. It can affect multiple organs of patients through direct and indirect ways, resulting in multifunctional organ disorders and even failure of patients, greatly increasing the mortality of patients. Therefore, the author summarized the history of the study of intraabdominal pressure, the overview, causes and hazards of intraabdominal hypertension and abdominal compartment syndrome, the measurement methods of intraabdominal pressure, and the treatment of intraabdominal hypertension by acupuncture, so as to provide a reference for clinical diagnosis and treatment and related research, with a view to making contributions to the routine measurement, intraabdominal pressure and timely diagnosis and treatment of intraabdominal hypertension in intensive care units.
