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针刺足三里及合谷穴辅助治疗脓毒症临床效果观察
  • ISSN号:1002-1949
  • 期刊名称:《中国急救医学》
  • 时间:0
  • 分类:R572[医药卫生—消化系统;医药卫生—临床医学;医药卫生—内科学]
  • 作者机构:三峡大学第一临床医学院宜昌市中心人民医院ICU,湖北宜昌443000
  • 相关基金:基金项目:国家青年基金资助(81202625)
中文摘要:

目的观察针刺足三里及合谷穴辅助治疗脓毒症的临床疗效。方法将70例脓毒症患者随机平分为治疗组和对照组(n=35)。两组患者均给予常规抗脓毒症治疗,治疗组另采用电针针刺双侧足三里及合谷穴,每次20min,每天2次。观察治疗前后患者临床体征及监测指标的变化。结果①治疗72h后治疗组显效24例,有效7例,无效4例,总有效率为88.57%;对照组显效18例,有效7例,无效10例,总有效率为71.42%,两组总有效率比较差异有统计学意义(P〈0.05)。②两组治疗72h后APACHEII评分、乳酸(Lac)、氧合指数(PaO2/Fi02)、血肌酐(SCr)均明显改善,治疗组改善程度更为显著(P均〈0.05)。结论针刺足三里及合谷穴辅助治疗脓毒症疗效确切。

英文摘要:

Objective To observe the clinical efficacy of acupuncture point at Zusanli and Hegu in adjuvant treatment of sepsis. Methods Seventy cases of septic patients were randomly divided into treatment group and control group, each group had 35 cases. Two groups of patients were given conventional anti - sepsis treatment, the treatment group was treated by electroacupunctttre on acupoint Zusanli and Hegu, 20 minutes each time, twice a day. Changes in patients with clinical signs and monitoring indexes were observed before and after treatment. Results (1)72 h later, 24 cases in the treatment group had good effectives, 7 cases were effective, 4 cases invalid, the total effective rate was 88.57% ,while in control group 18 cases had good effectives, 7 cases were effective, 10 cases invalid, the total efficiency was 71.42%, the two group total efficiency comparisons have statistics significance (P 〈 0.05 ). (2)After 72 h treatment, the APACHE II score, lactic acid, oxygenation index and SCr were improved significantly in both groups, the improvement of treatment group was more significant (P 〈 0.05). Conclusion The therapeutic effect of acupuncture at Zusanli and Hegn in sepsis is precisely.

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期刊信息
  • 《中国急救医学》
  • 中国科技核心期刊
  • 主管单位:国家卫生和计划生育委员会
  • 主办单位:中国医师协会 黑龙江科学技术情报研究所
  • 主编:王春生
  • 地址:哈尔滨市松北区创新三路600号科技大厦612
  • 邮编:150028
  • 邮箱:zgjjyx@periodicals.net
  • 电话:0451-51920698
  • 国际标准刊号:ISSN:1002-1949
  • 国内统一刊号:ISSN:23-1201/R
  • 邮发代号:14-75
  • 获奖情况:
  • 临床医学与特种医学中文核心期刊,国家科技部中国科技论文统计源期刊,中国生物医学核心期刊
  • 国内外数据库收录:
  • 美国化学文摘(网络版),日本日本科学技术振兴机构数据库,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版),中国北大核心期刊(2000版)
  • 被引量:38315