Study on Chinese medicine syndrome types and correlative indicators in community-acquired pneumonia with sepsis

YAN Li; SUN Ji; YANG Pan; QIAN Yi-ming; ZHAO Lei; QIAN Feng-hua

您当前的位置：

首页 >

文章列表页 >

Study on Chinese medicine syndrome types and correlative indicators in community-acquired pneumonia with sepsis

更新时间：2022-08-31

- Study on Chinese medicine syndrome types and correlative indicators in community-acquired pneumonia with sepsis
- Shanghai Journal of Traditional Chinese Medicine Vol. 49, Issue 4, Pages: 16-18(2015)
- 作者机构：
  
  1. 上海中医药大学附属岳阳中西医结合医院急诊医学科,上海,200437
- 作者简介：
- 基金信息：
- DOI：
  CLC：
扫描看全文
YAN Li, SUN Ji, YANG Pan, et al. Study on Chinese medicine syndrome types and correlative indicators in community-acquired pneumonia with sepsis. [J]. Shanghai Journal of Traditional Chinese Medicine 49(4):16-18(2015)
DOI：

YAN Li, SUN Ji, YANG Pan, et al. Study on Chinese medicine syndrome types and correlative indicators in community-acquired pneumonia with sepsis. [J]. Shanghai Journal of Traditional Chinese Medicine 49(4):16-18(2015) DOI：

摘要

目的：研究社区获得性肺炎合并脓毒症中医证型分布规律及其与C反应蛋白(CRP)、降钙素原(PCT)、D-二聚体(D-Di)之间的关系方法：选取社区获得性肺炎合并脓毒症患者186例,调查其中医证型分布情况,并检测血清CRP、PCT、D-Di水平结果：①中医证型以热入营血证(27.96％)、瘀毒内阻证(26.89%)、热毒炽盛证(22.58％)多见。②热入营血证CRP水平最高,热毒炽盛证、瘀毒内阻证、气阴两虚证CRP水平与其相近(P>0.05),均明显高于邪毒袭肺证(P<0.01)；各组CRP均值由高到低顺序为热入营血证>瘀毒内阻证>热毒炽盛证>气阴两虚证>邪毒袭肺证。③热入营血证、瘀毒内阻证、热毒炽盛证、气阴两虚证PCT水平明显高于邪毒袭肺证(P<0.01),其中瘀毒内阻证、热入营血证高于气阴两虚证及热毒炽盛证(P<0.01)；各组PCT均值由高到低顺序为瘀毒内阻证>热入营血证>热毒炽盛证>气阴两虚证>邪毒袭肺证。④瘀毒内阻证、热入营血证的D-Di水平均高于其他各证(P<0.01),瘀毒内阻证D-Di水平明显高于热入营血证(P<0.01)；各组D-Di均值由高到低顺序为瘀毒内阻证>热入营血证>热毒炽盛证>气阴两虚证>邪毒袭肺证结论：社区获得性肺炎合并脓毒症中医证型以热入营血证、瘀毒内阻证、热毒炽盛证多见；联合检测CRP、PCT、D-Di,对中医辨证分型有一定的参考价值。

Abstract

Objective:To study the relation between the syndrome of TCM of community-acquired pneumonia (CAP) combined sepsis with CRP, PCT, D-Di and to analyze the regularities of distribution of indexes among the syndrome of TCM Methods:One hundred and eighty-six CAP patients combined with sepsis were selected to investigate distribution of TCM syndrome, and the levels of CRP, PCT and D-Di were detected Results:① In the compare of constituent ratio of syndrome of TCM, the syndrome of toxic heat flourishing (22.58%), heat the ying blood (27.96%), stasis poison resistance (26.89%) is common. ② The CRP level in evil poison attack the lung group is lower than other groups (P<0.01), and there is no statistically significant difference among the syndrome of toxic heat flourishing, heat the ying blood, stasis poison resistance groups. The PCT of deficiency of both qi and yin group and toxic heat flourishing group is higher than evil poison attack the lung group (P<0.01) and is lower than heat the ying blood, stasis poison resistance groups (P<0.01). The D-Di of heat the ying blood, stasis poison resistance groups is higher than other groups significantly (P<0.01), and the stasis poison resistance group is highest. It is statistically significant difference compared with heat the ying blood group (P<0.01) Conclusion:Combined detection of PCT,D-Di for syndrome differentiation of TCM of CAP with sepsis patients has a certain reference value.

关键词

社区获得性肺炎脓毒症中医证型C反应蛋白降钙素原D-二聚体

Keywords

community-acquired pneumoniasepsissyndrome of TCMCRPPCTD-Di

references

Views

233

下载量

CSCD

CNKI被引量

Alert me when the article has been cited

提交

Tools

Publicity Resources

Discussion on treatment of hematogenous sepsis based on syndrome differentiation of six channels theory

Clinical study on the treatment of gastrointestinal dysfunction of spleen yang deficiency type sepsis by acupoint application of cinnamon powder combined with conventional western medicine therapy

Effects of Radix et Rhizoma Rhei and Radix Salviae Miltiorrhizae on levels of serum inflammatory factors in septic rats by miRNA-155

Correlation between collateral structure abnormality and pathological mechanism of sepsis

Effects of Shengjiang Powder on lipopolysaccharide induced myocardial injury in septic rats via TLR-4/NF-κB signaling pathway

Related Author

No data

Related Institution

Guangdong Provincial Hospital of Traditional Chinese Medicine

College of Nursing, Hunan University of Traditional Chinese Medicine

Department of Critical Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine

Southern Hospital of Southern Medical University

Department of Critical Care Medicine, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

⁰