中西医结合治疗老年肺炎致脓毒性休克的临床观察  

Clinical Observation on Treatment of Septic Shock in Elderly Pneumonia with Integrated Traditional Chinese and Western Medicine

作　　者：李金梁[1] 孙宏志[1] 田加坤[1] 张群[1] 田甜[2] 

机构地区：[1]吉林大学第二医院,吉林长春130041 [2]吉林省肿瘤医院,吉林长春130021

出　　处：《中国中医急症》2017年第10期1823-1825,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：北京协和医学基金-睿E(睿意)急诊医学研究专项基金

摘　　要：目的观察中西医结合方法治疗老年肺炎致脓毒休克的临床疗效。方法 40例患者按随机数字表法分为中西医结合组和常规治疗组各20例,常规治疗组予西医常规治疗,中西医结合组在常规治疗组基础上加用参附注射液;两组疗程均为7 d。观察两组治疗前后心脏指数(CI)、系统血管阻力指数(SVRI)、血乳酸(Lac)、降钙素原(PCT)水平。结果与治疗前比较,两组患者治疗后CI、SVRI均升高(P<0.05),且中西医结合组升高更显著(P<0.05);与治疗前比较,两组患者治疗后Lac、PCT均降低(P<0.01),且中西医结合组降低更显著(P<0.05)。结论中西医结合治疗老年肺炎致脓毒休克疗效显著。Objective： To observe the clinical efficacy of integrated traditional Chinese and Western medicine in the treatment of septic shock caused by pneumonia in the elderly. Methods： 40 patients with sepsis shock were randomly divided into 2 groups： the combination group and the conventional treatment group,20 cases in each.Both groups received the conventional treatment. Additionally,the combination group were treated with Shenfu injection. Both groups were given seven days of treatment. The changes of cardiac index（CI）,system vascular resistance index（SVRI）,blood lactic acid（Lac） and procalcitonin（PCT） were detected. Results： Compared with before treatment,CI and SVRI increased in both groups after treatment（P 〈 0.05）,and the combination group increased obviously（P 〈 0.05）. Compared with before treatment,Lac and PCT were lower in both groups after treatment（P 〈 0.01）,and the combination group was obviously lower（P 〈 0.05）. Conclusion： The combination of Chinese and Western medicine has a significant effect on sepsis shock caused by pneumonia in the elderly.

关 键 词：老年肺炎 脓毒性休克 参附注射液 

分 类 号：R563.1[医药卫生—呼吸系统]