烧伤合并腹腔间隙综合征的中西医结合治疗  

Effects of Integrated Traditional Chinese with Western Medicine Treatment on Abdominal Compartment Syndrome of Burn Patients

作　　者：高志刚[1] 刘彤[2] 邢敬龙[1] 刘艳山[3] 邢溢庆 

机构地区：[1]天津医科大学外科手术学教研室,天津300050 [2]天津医科大学总医院普通外科 [3]天津市第四医院烧伤整形科

出　　处：《中国中西医结合外科杂志》2010年第2期173-175,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:探讨以大承气颗粒剂为主要方剂的中西医结合疗法对严重烧伤合并腹腔间隙综合征的治疗效果。方法:将17例并发腹腔间隙综合征的烧伤患者随机分为中西医结合治疗组(A组)和常规治疗对照组(B组),A组10例采用以大承气颗粒剂为主要方剂的中西医结合综合治疗,B组7例常规治疗。结果:膀胱内压、平均动脉压、尿量、便量和氧合情况等指标A组优于B组。结论:以大承气颗粒剂为主要方剂的中西医结合治疗,可有效预防和治疗烧伤后腹腔间隙综合征,降低多器官功能障碍综合征的发生率。Objective To evaluate the therapeutic effects of integrated TCM with Western medicine for abdominal compartment syndrome（ACS） using Da Cheng Qi granules.Methods Forty-two patients with severe burn were observed by urinary bladder pressure（UBP） measurement and other vital signs.17 cases of all episodes of ACS were divided into two groups.Group A was treated with integrated TCM and Western medicine and Group B with conventional methods.Results There were significant differences between the volume of urinary and excrement and oxygenation of group A with those of Group B.Conclusion Treatment with Da Cheng Qi granules might decrease the abdominal pressure significantly for patients with ACS promoting the physiologic parameter improvement.

关 键 词：烧伤 腹腔间隙综合征 膀胱内压 大承气颗粒剂 

分 类 号：R644[医药卫生—外科学] R631.1[医药卫生—临床医学]