摘要
目的探讨血府逐瘀汤对严重多发伤患者的临床疗效。方法选取多发伤患者各212例为研究对象,分为对照1组、对照2组、观察1组、观察2组各53例;对照1组、对照2组给予常规的临床急救治疗,观察1组、观察2组在此基础上加用血府逐瘀汤;对比分析各组患者的平均住院时间(d),ICU住院时间(d),平均恢复时间(d),感染,后遗症,多器官功能衰竭综合征(MODS),急性呼吸窘迫综合征(ARDS)及死亡情况。结果对照1组患者平均住院时间、ICU住院时间、平均恢复时间、感染率、后遗症率、MODS率、ARDS率及死亡率与观察1组相比,差异无统计学意义(均P>0.05),而严重多发伤患者中,观察2组患者感染率、后遗症率、MODS率、ARDS率及死亡率均比对照2组要低,在患者平均住院时间,ICU住院时间,平均恢复时间上比对照2组更短,差异均有统计学意义(均P<0.05)。结论血府逐瘀汤用于严重多发伤患者的治疗可以降低并发症率和死亡率,促进患者病情恢复,具有一定的应用价值。
Objective To explore the clinical effect of xuefuzhuyu decoction in the treatment of patients with severe multiple trauma. Methods 212 patients with multiple trauma were divided into control group 1, control group 2, observation group 1, and observation group 2, 53 cases in each group. The control group 1 and control group 2 received routine clinical emergency treatment, while the observation group 1 and observation group 2 were treated with xuefuzhuyu decoction based on routine clinical emergency treatment. The mean hospitalization time(d), ICU time(d), recovery time(d), infection rates, sequela rates, multiple organ dysfunction syndrome(MODS) rates, acute respiratory distress syndrome(ARDS) rates, and death rates of the four groups were compared. Results In control group 1, the mean hospitalization time, ICU time, recovery time, infection rate, sequela rate, MODS rate, ARDS rate, and death rate were close to those of the observation group 1, the differences were not statistically significant(P〉0.05). In the patients with severe multiple trauma, the infection rate, sequela rate, MODS rate, ARDS rate, and death rate of the observation group 2 were lower, while the mean hospitalization time, ICU time, recovery time were shorter than those of the control group 2, the differences were statistically significant(P〈0.05). Conclusion The xuefuzhuyu decoction can decrease the complication rate and death rate, as well as promote the recovery of patients in treating severe multiple trauma, which is effective and valuable in clinical practice.
出处
《中国医药科学》
2016年第7期70-72,79,共4页
China Medicine And Pharmacy
关键词
血府逐瘀汤
轻度
严重
多发伤
Xuefuzhuyu decoction
Mild
Severe
Multiple trauma