摘要
目的探讨针刺患者足三里、关元穴对感染性休克的治疗效果,旨在改善患者预后情况。方法将2013年1月-2016年6月于医院进行治疗138例感染性休克患者分为针刺组与对照组,各69例,对照组患者给予感染性休克常规治疗,针刺组在对照组的基础上每日进行针刺足三里、关元穴治疗,分析感染性休克患者的病原菌分布,对比两组患者治疗前后的休克指数、APACHEⅡ评分、血清降钙素原(PCT)水平。结果感染性休克患者的感染部位以肺部、腹腔与胆道为主,分别占39.1%、23.2%、21.0%;感染性休克患者共分离出病原菌153株,其中革兰阴性菌91株占59.5%,革兰阳性菌52株占34.0%,真菌10株占6.5%;治疗后24h两组感染性休克患者休克指数较治疗前均显著降低,且针刺组休克指数显著低于对照组,差异有统计学意义(P<0.05);两组患者APACHEⅡ评分较治疗前显著降低,且针刺组APACHEⅡ评分显著低于对照组,差异有统计学意义(P<0.05);治疗7d后两组患者PCT水平较治疗前均显著降低,且针刺组PCT水平显著低于对照组,差异有统计学意义(P<0.01)。结论常规治疗基础上针刺足三里、关元穴可以显著改善感染性休克患者的治疗效果,对APACHEⅡ评分及PCT水平影响较大,值得临床推广。
OBJECTIVE To explore the treatment effect of acupuncture at Zusanli and Guanyuan on septic shock patients,so as to improve the prognosis of patients.METHODS A total of 138 cases of patients with septic shock in the hospital from Jan.2013 to Jun.2016 were randomly divided into acupuncture group and control group,with69 cases in each group.Patients in control group were treated with routine treatment of septic shock,and in acupuncture group patient were treated with daily acupuncture at Zusanli and Guanyuan on the basis of routive treatment.The pathogens characters in patients with septic shock was analyzed,and shock index,APACHE Ⅱscore,and serum calcitonin（PCT）level of the two groups before and after the treatment were compared.RESULTS The infection sites of patients with septic shock were mainly lung,abdominal cavity and biliary tract,accounting for39.1%,23.2%,and 21%.Totally 153 strains of bacteria were isolated,including 91 strains of gram-negative bacteria,accounting for 59.5%,52 strains of gram-positive bacteria,accounting for 34%,and 10 strains of fungi,accounting for 6.5%.The shock indexes of patients in the two groups at 24 hafter treatment were significantly lower than those before treatment,the shock index in acupuncture group was significantly lower than that in control group,and the difference was statistically significant（P〈0.05）.The APACHE Ⅱ scores of patients in the two groups were significantly decreased than those before treatment,and the APACHE Ⅱ score in acupuncture group was significantly lower than that in control group,with significant difference（P0.05）.After 7d treatment,the levels of PCT in the patients of the two groups were significantly lower than those before treatment,the level of PCT in acupuncture group was significantly lower than that in control group,and the difference was statistically significant（P0.01）.CONCLUSION Based on routine treatment,acupuncture at Zusanli and Guanyuan can significantly improve the therapeutic effect of patients with septic shock,and has a great impact on the APACHE Ⅱ score and PCT level,so it is worthy of clinical promotion.
作者
林兵
吴伟
张伟清
LIN Bing WU Wei ZHANG Wei-qing(Songyang Hospital of Traditional Chinese Medicine, Lishui, Zhejiang 323400, Chin)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第4期766-769,共4页
Chinese Journal of Nosocomiology
基金
浙江省卫生厅医药科技计划项目(20152342zx)
