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The effect of retention enema with Dachengqi Decoction on blood coagulation in patients with sepsis |
Liang Qun, Liu Ting-ting, Xie Li-xiang, Du Chun-peng, Sun De-yang, Zhu Yong-zhi |
Department of Critical Care Medicine, the First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040, China |
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Abstract Objective To investigate the effect of retention enema with Dachengqi Decoction on blood coagulation in patients with sepsis. Methods In this study, a randomized controlled trial was conducted in 60 patients who met the inclusion criteria. The experimental group and the control group each had 30 cases. The experimental group was treated with Dachengqi Decoction retention enema and routine western medicine, while the control group was treated with warm water retention enema and routine western medicine treatment. The peripheral blood and vein blood were collected on the day of enrollment, on the third day and seventh day after treatment, and four items of blood coagulation (APTT, PT, TT, FIB) and D-dimer were detected. Results The experimental group of Dachengqi Decoction retention enema on the third day, seventh day of treatment, four items of blood coagulation, two D- dimer changes compared with the control group, the difference was statistically significant (P<0.05). And the Dachengqi Decoction retention enema treatment showed further improved test index levels on the seventh day, compared with those on the third day. Conclusion Dachengqi Decoction and modified retention enema can effectively improve the coagulation four and D-dimer levels in patients with sepsis.
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Corresponding Authors:
Xie Li-xiang, E-mail:852472132@qq.com
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[1]蒋寅生,血必净注射液对重症脓毒症凝血功能及预后影响效果分析[J]. 中国急救医学, 2017, 37(Z1期):306-307.
[2]陈华君,徐娜.血必净注射液对脓毒症患者凝血功能的影响[J].现代医药卫生, 2012, 28(15):2293-2294.
[3]余丹凤,胡马洪,金东,等.大承气汤治疗机械通气严重脓毒症患者例疗效观察[J].中国中西医结合急救杂志, 2010, 17(4):199-201.
[4]吴建浓,朱美飞,雷澍,等.大承气汤对脓毒症患者凝血功能影响[J].浙江中医药大学学报, 2008, 32(3):368-369.
[5]通晴,胡苏.足三里穴位注射新斯的明联合大承气汤对脓毒症患者胃肠功能的影响及其机制探讨[J].中国中医急症, 2017, 26(6):1052-1055.
[6]张云松,朱晓林.脓毒症中医病机及治法探讨[J].上海中医药杂志, 2012, 46(10):8-9.
[7]李海涛,李越华.脓毒症的中医辨治研究近况[J].陕西中医, 2010, 31(1):124-126.
[8]傅晓燕,王卫星,张焰理.清瘟败毒饮对脓毒症患者凝血功能影响[J].安徽中医学院学报, 2009, 28(4):30-32.
[9]王洪亮,章志丹,黄伟.拯救脓毒症运动:脓毒症与感染性休克治疗国际指南(2016)的解读与展望[J].中华重症医学电子杂志, 2017, 3(1):26-32.
[10]顼志兵,宋丽,赵外荣.脓毒症凝血功能障碍的发病机制及中医治疗的研究进展[J].中国医药导报, 2017, 14(18):42-44.
[11]姚咏明,张艳敏.脓毒症发病机制最新认识[J].医学研究生学报, 2017, 30(7):678-683.
[12]高洁, 孔令博, 刘斯, 等.血必净注射液治疗脓毒症及多器官功能障碍综合征的前瞻性多中心临床研究[J].中华危重病急救医学, 2015, 27 (6): 465-470.
[13]李志云,杜仲平,王春雨,等.丹红注射液对严重脓毒症凝血功能及预后的影响[J].世界中医药, 2015(8):1197-1200.
[14]Zhou LX, Zhang BY, Zhang L, et al. Spleen Kidney Nourishing and Qi Fang Medicine and Montmorillonite Powder Retention Enema Slow Sepsis Induced Acute Kidney Injury in Patients with Chronic Renal Failure Curative Effect Observation[J]. Chinese Archives of Traditional Chinese Medicine, 2012.
[15]史玉虎,张冠,刘慧芳,等.大承气汤加减灌肠治疗脓毒症对血乳酸水平的影响[J].中药药理与临床, 2015, 31(2):206-207.
[16]Jing YU, Xie X, Zhang Z. Effect of Tongfu Xiere Recipe on Procalcitonin and Immune Function of Patients with Surgical Sepsis[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2013.
[17]Wang Y, Zhang Y, Jiang R. Early traditional Chinese medicine bundle therapy for the prevention of sepsis acute gastrointestinal injury in elderly patients with severe sepsis[J]. Sci Rep, 2017, 7:46 015. |
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