四君子汤加味治疗上消化道出血合并失血性休克的疗效分析  

Analysis of the Curative Effect of Modified Sijunzi Decoction on Patients with Upper Gastrointestinal Bleeding Complicated with Hemorrhagic Shock

作　　者：范彩霞[1] 黄冬梅[1] 陆振如 FAN Cai-xia;HUANG Dong-mei;LU Zhen-ru(The Emergency Department,Dongguan Hospital Affiliated to Guangzhou University of Chinese Medicine,Guangdong,Dongguan523000)

机构地区：[1]广州中医药大学附属东莞医院急诊科,广东东莞523000

出　　处：《实用中西医结合临床》2021年第24期12-13,91,共3页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:分析上消化道出血合并失血性休克患者给予四君子汤加味治疗的临床效果。方法:选取2016年1月~2020年1月收治的80例消化道出血合并失血性休克患者作为研究对象,根据随机数字表法分成观察组和对照组,各40例。对照组给予常规液体复苏治疗,观察组给予四君子汤联合限制性液体复苏治疗,比较两组患者临床疗效、止血时间、平均动脉压(MAP)及中心静脉压(CVP)。结果:观察组治疗总有效率较对照组高(P<0.05);观察组止血时间较对照组短(P<0.05);治疗后,两组MAP、CVP均高于治疗前(P<0.05),且观察组高于对照组(P<0.05)。结论:上消化道出血合并失血性休克患者给予四君子汤加味联合限制性液体复苏治疗,能够提高临床疗效,缩短止血时间,提高MAP、CVP水平。Objective:To analyze the curative effect of modified Sijunzi decoction on patients with upper gastrointestinal bleeding complicated with hemorrhagic shock.Methods:Selected 80 patients with gastrointestinal bleeding and hemorrhagic shock admitted from January 2016 to January 2020 as the research objects,according to the random number table method,the patients were divided into observation group and control group,each with 40 cases.The control group was given conventional liquid recovery treatment,the observation group was given Sijunzi Decoction with limited fluid resuscitation therapy.The clinical efficacy,hemostasis time,mean arterial pressure(MAP)and central venous pressure(CVP)of the two groups were compared.Results:The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).The hemostasis time in the observation group was significantly shorter than that in the control group(P<0.05).After treatment,MAP and CVP after treatment in the two groups were higher than before treatment(P<0.05),and the observation group was higher than the control group(P<0.05).Conclusion:Modified Sijunzi decoction combined with restricted fluid resuscitation can improve clinical efficacy,shorten hemostasis time,improve MAP and CVP levels in patients with upper gastrointestinal bleeding complicated with hemorrhagic shock.

关 键 词：上消化道出血 失血性休克 四君子汤加味 限制性液体复苏 

分 类 号：R573.2[医药卫生—消化系统]