Study on Diagnosis and Treatment of Infectious Multiple Organ Dysfunction Syndrome by Integrated Traditional Chinese and Western Medicine

Ｏｂｊｅｃｔｉｖｅ：ＴｏｅｘｐｌｏｒｅｔｈｅｄｉａｇｎｏｓｔｉｃａｎｄｔｈｅｒａｐｅｕｔｉｃａｐｐｒｏａｃｈｏｆｉｎｔｅｇｒａｔｅｄｔｒａｄｉｔｉｏｎａｌＣｈｉｎｅｓｅａｎｄｗｅｓｔｅｒｎｍｅｄｉｃｉｎｅ（ＴＣＭ ＷＭ）ｏｎｉｎｆｅｃｔｉｏｕｓｍｕｌｔｉｐｌｅｏｒｇａｎｓｄｙｓｆｕｎｃｔｉｏｎｓｙｎ ｄｒｏｍｅ ｍｕｌｔｉｐｌｅｓｙｓｔｅｍａｎｄｏｒｇａｎｆａｉｌｕｒｅ（ＭＯＤＳ ＭＳＯＦ）ｆｏｒｅｌｅｖａｔｉｎｇｔｈｅｓｕｃｃｅｓｓｆｕｌｒａｔｅｏｆｒｅｓｃｕｉｎｇｔｈｅｐａｔｉｅｎｔｓ．Ｍｅｔｈ…     

中西医结合治疗159例急性胰腺炎临床观察

[目的]探讨急性胰腺炎（acute pancreatitis,AP）中医证候特点及早期中西医结合内科保守治疗的疗效和方法.[方法]分别采用Ranson标准、APACHE-Ⅱ评分和Balthazar CT分级系统对5年间159例AP住院患者进行回顾性分级评价,并进一步分析了中西医结合治疗轻症急性胰腺炎（mild acute pancreatitis,MAP）和重症急性胰腺炎（severe acute pancreatitis,SAP）的临床疗效.[结果]MAP组97例,其中肝郁气滞型18例,肝胆湿热型60例,脾胃实热型16例,瘀热互结型2例,蛔虫上扰型1例;SAP组62例,其中肝郁气滞型7例,肝胆湿热型31例,脾胃实热型11例,瘀热互结型4例,气阴两虚型4例,腑闭血瘀型4例,内闭外脱型1例.经Ridit分析,MAP组和SAP组的中医证型分布具有显著性差异（P＜0.05）.两组疗效分析：MAP痊愈61例（62.89%）,显效36例（37.11%）,无效和死亡均为0例;SAP组内科保守治疗62例,痊愈20例（32.26%）,显效12例（19.35%）,无效26例（41.94%）,不适合手术而内科保守治疗死亡4例（6.45%）,内科保守治疗无效转行手术治疗26例,术后全部好转出院.两组疗效比较,MAP组疗效优于SAP组（P＜0.01）.MAP组的平均住院时间为10 d,SAP组的平均住院时间为15.5 d.[结论]MAP和SAP均以湿热、气滞、血瘀等实证为主,但SAP有部分表现为腑闭血瘀型和内闭外脱型等危重证型.早期采用中西医结合保守治疗对MAP的疗效满意,可免行外科手术治疗;而对SAP的疗效较差,有大约一半的病人需转外科手术治疗,但保守治疗也可为其创造必要的手术条件,提高手术成功率.     

Study on treatment of 313 patients with mid-late primary hepatocarcinoma by integrated traditional chinese and western medicine

Ｆｏｒｍｏｓｔｐａｔｉｅｎｔｓｗｉｔｈｍｉｄ ｌａｔｅｐｒｉｍａｒｙｈｅｐａｔｏｃａｒｃｉｎｏｍａ,ｗｈｏｃｏｕｌｄｎｏｔｂｅｔｒｅａｔｅｄｂｙｓｕｒｇｉｃａｌｏｐｅｒａｔｉｏｎ,ｔｒａｎｓｃａｔｈｅｔｅｒａｒｔｅｒｉａｌｃｈｅｍｏｅｍｂｏｌｉｚａｔｉｏｎ （ＴＡＣＥ）, ｐｅｒｃｕｔａｎｅｏｕｓｅｔｈａｎｏｌｉｎｊｅｃｔｉｏｎ（ＰＥＩ）ｏｒｃｏｍｐｒｅｈｅｎｓｉｖｅｃｏｎ ｓｅｒｖａｔｉｖｅｔｈｅｒａｐｙａｒｅｒｅｃｅｎｔｌｙｔｈｅｒｏｕｔｉｎｅｔｈｅｒ ａｐｙ（1）．Ｂｕｔｔｈｅｇｅｎｅｒａｌｃｌ…     

Clinical Study of Sudden Desfness Treated with Integrated Traditional Chinese and Western Medicine

Suddendeafnessissoundperceptionnervedeafnessthatoccurssuddenly,andbelongstothecategoryof"fulminantdeafness"intraditionalChinesemedicine(TCM).Thecauseofthediseasehasnuclearyet,andmayberelatedwithdisturbanceofbloodcirculation,auto--immuneandviralinfection.UPtonow,thereisnospecifictreatmenttocureit.TheauthorshavetreatedpatientsofsuddendeafnesswithintegratedtraditionalChineseandwesternmedicine(TCM--WM)andstudiedthemechanismofthedisease,thereportisasfollows.METHODSClinicalDataThe146patients…     

全身炎症反应综合征和多器官功能障碍综合征的治疗进展

全身炎症反应综合征(systemic inflammatory response syndrome,SIRS)和多器官功能障碍综合征(multiple organdysfunction syndrome,MODS)是重症监护病房(ICU)中治疗的难题.除传统的治疗方法外,近年来人们尝试通过免疫治疗来调节机体的炎症反应系统,纠正机体异常自身应答,从而达到治疗SIRS和MODS的目的.本文从阻断炎症反应的激活、调节炎症反应的活性、基因治疗以及中西医结合治疗几个方面综述了SIRS和MODS的治疗进展.     

中西医结合治疗慢性盆腔炎的疗效分析

目的:研究中西医结合方法治疗慢性盆腔炎的临床疗效.方法:慢性盆腔炎患者共306例,随机分为两组,中西医结合治疗组及单纯西医治疗组,各153例.中西医结合治疗组采用经期抗炎及经间期中药治疗;单纯西医治疗组采用经期抗炎,比较两组患者经治疗后其临床疗效.结果:慢性盆腔炎患者其中西医结合治疗组(治疗组)的临床疗效明显高于西医治疗组(对照组),差异有显著性(P＜0.05).结论:中西医结合治疗慢性盆腔炎的疗效明显高于单纯西医治疗.     

中西医结合治疗多器官衰竭60例分析

目的 研究中医中药在多器官衰竭(MOF)中的治疗及预防作用，探索中西医结合治疗MOF的有效途径。方法对该院重症监护病房收治的60例MOF患在常规治疗的同时，根据辨证论治的原则加用中药治疗。结果60例MOF患死亡率为62．5％。结论与献报道比较，两个及三个器官衰竭死亡率有所降低，表明中西医结合治疗MOF是一条有效的途径。     

Clinical Observation on Chinese and Western Integrative Medicine in Treating Repeatedly Recurrent Chronic Pyelonephritis

Ｕｒｉｎａｒｙｔｒａｃｔｉｎｆｅｃｔｉｏｎｉｓａｃｏｍｍｏｎｄｉｓ ｅａｓｅｏｆｕｒｉｎａｒｙｓｙｓｔｅｍ，ｉｔｓｒｅｌａｐｔｉｃａｎｄｒｅｃｕｒ ｒｅｎｔｒａｔｅｗｅｒｅｖｅｒｙｈｉｇｈ，ｐａｒｔｉｃｕｌａｒｌｙｆｏｒｔｈｅｍａｒｒｉｅｄａｄｕｌｔｆｅｍａｌｅ，ａｇｅｄａｎｄｗｅａｋｉｎｄｉｖｉｄｕ ａｌｓａｓｗｅｌｌａｓｔｈｏｓｅｗｉｔｈｃｏｍｐｌｉｃａｔｅｄｕｒｉｎａｒｙｃｏｎｄｉｔｉｏｎｓ．Ｉｔｗａｓｏｆｔｅｎｍａｎｉｆｅｓｔｅｄａｓａｆｒｅ ｑｕｅｎｔｌｙｒｅｃｕｒｒｅｎｔｐｒｏｃｅｓｓ．…     

Clinical study on treatment of incipient diabetic nephropathy by integrated traditional Chinese and Western medicine

Ｄｉａｂｅｔｉｃｎｅｐｈｒｏｐａｔｈｙ（ＤＮ）ｉｓｏｎｅｏｆｔｈｅｃｈｉｅｆｃｈｒｏｎｉｃｃｏｍｐｌｉｃａｔｉｏｎｓｏｆｄｉａｂｅｔｅｓｍｅｌｌｉｔｕｓ（ＤＭ）．Ｉｔｉｓｎａｍｅｄａｓｉｎｃｉｐｉｅｎｔｄｉａｂｅｔｉｃｎｅ ｐｈｒｏｐａｔｈｙｗｈｅｎｔｈｅａｌｂｕｍｉｎｅｘｃｒｅｔｉｏｎｒａｔｅ（ＡＥＲ）ｉｓｂｅｔｗｅｅｎ 30 - 30 0ｍｇ 2 4ｈｒｓｕｒｉａａｎｄｄｉａｇｎｏｓｅｄａｓｍｉｃｒｏａｌｂｕｍｉｎｕｒｉａ（1）,ｔｈｅｐｒｏ ｇｒｅｓｓｉｏｎｏｆｄｉｓｅａｓｅｍｉｇｈｔｂｅｒｅｔａｒｄｅｄ…     

Clinical study of sudden deafness treated with integrated traditional Chinese and Western medicine

Objective: To explore the mechanisms of integrated traditional Chinese and western medicine (TCM-WM) in treating sudden deafness.Methods: One hundred and forty-six patients suffered from sudden deafness were divided into two groups, 64 cases in the treated group were treated with TCM-WM therapy and the other 82 cases treated with western medicine alone for control.Results: The total effective rate of the treated group was 92.19%, that of the control group was 75.61%. The difference between the two groups was significant,P < 0.01.Conclusion: The TCM-WM therapy is very effective in treating sudden deafness. Its mechanism might be: (1) Decrease of the blood viscosity and increase of the red blood cell’s tenacity, so that the blood stream could pass through unimpededly. (2) Decrease of the plasma TXA₂ level and increase of the PGI₂ level, to benefit the blood supply for inner ear. (3) Increase of the activity of SOD and clearing away the free radicals so as to reduce the damage to the inner ear.     

Treatment of secondary amenorrhea and oligohypomenorrhea with combined traditional Chinese and Western medicine]

This article reported the treatment of 149 cases (1087 cycles) with secondary amenorrhea and oligohypomenorrhea, including 42 cases who were treated by cycle treatment with traditional Chinese medicine (TCM) and clomiphene in comparison with clomiphene in 67 cases and/or TCM in 40 cases at the same time. The results showed that ovulatory rate of secondary amenorrhea, calculated according to menstrual cycles, was significantly higher in the group of TCM and clomiphene than that of clomiphene or TCM (P less than 0.01). The efficacy of clomiphene was better than that of TCM (P less than 0.01). The ovulatory rate of oligohypomenorrhea was significantly increased by using TCM and clomiphene in contrast to only western medicine (P less than 0.05). The phenomena mentioned above indicate that the TCM-WM treatment has obvious advantages.     

胃溃疡的中医疗效初探

目的观察中医药治疗胃溃疡的临床效果。方法选取我院自2006年1月至2009年6月收治的126例胃溃疡患者随机分为观察组（中医药治疗组）和对照组（常规西药治疗组）各63例,治疗周期均为8周,比较两组治疗效果。结果观察组治愈28例,显效25例,总有效率为84.1%;对照组治愈11例,显效29例,总有效率为63.5%。两组比较差异有统计学意义（P〈0.01）。两组在治疗期间均未发生明显不良反应。对两组患者进行为期6个月的随访,观察组复发3例（复发率为4.8%）,对照组复发14例（复发率为22.2%）,两组比较差异有统计学意义（P〈0.01）。结论中医药治疗胃溃疡效果理想且复发率低,可以作为治疗胃溃疡的主要方法使用。     

重症监护病房危重患者肠功能障碍诊治进展

肠功能障碍在重症监护病房(ICU)多器官功能障碍综合征(MODS)患者中较为常见,肠黏膜屏障功能障碍与MODS关系密切,MODS合并肠黏膜屏障功能障碍不能缓解患者的病情,病死率高。肠功能障碍是MODS诊治中的重要环节,充分认识其临床特点及在病程中的作用,对提高ICU危重患者的救治有着重要意义。治疗上包括积极治疗原发病、营养支持、维护肠屏障功能和消化道解剖功能重建等,中西医结合治疗以改善MODS患者肠功能具有一定潜力。     

上消化道溃疡的中医辨证治疗

目的探讨中医辨证论治在改善上消化道溃疡症状和不良反应中的临床意义。方法选择住院治疗的消化道溃疡患者68例,均经纤维胃镜检查并进行快速尿素酶实验证实有幽门螺杆菌存在。将68例患者随机分为治疗组与对照组各34例,对照组应用胶体次枸橼酸铋冲剂、克拉霉素、阿莫西林等治疗;治疗组除按对照组治疗外,对患者进行辨证分型,再给予相应中医治疗。两组均治疗4周后比较效果。结果治疗组痊愈27例（79.4%）,有效7例（20.6%）,总有效100%;对照组：痊愈18例（52.9%）,有效10例（29.5%）,总有效率82.4%。两组Hp非转阴率之间存有明显差异,具有统计学意义（P〈0.05）。结论中医辨证论治联合西药治疗效果明显优于单用西药治疗,且不良反应较少,可在临床推广应用。     

自血疗法结合中西医治疗慢性荨麻疹临床观察

目的：观察自血疗法配合中西医辨证治疗慢性荨麻疹的临床疗效。方法：将157例慢性荨麻疹患者随机分为西药组53例，中药组52例，中西药组52例。西药组单用西药（息斯敏、维丁胶性钙、维生素c、西咪替丁）治疗：中药组给予活血祛风汤治疗；中西药组在前两组基础上加用自血疗法治疗。结果：中西药组痊愈29例，显效9例，好转13例，无效1例，总有效率为98．07％；西药组痊愈8例，显效13例，好转17例，无效15例，总有效率71．69％；中药组痊愈9例，显效10例，好转20例，无效13例，总有效率75．00％。中西药组总有效率与西药组、中药组比较有显著性差异（P〈0．05）。三组患者治疗前后IgG含量、红细胞复合花环率比较，中西药组较西药组与中药组有显效性差异（P〈0．05）。结论：中西医结合配合自血疗法治疗慢性荨麻疹有显著的疗效，且毒副作用小，值得进一步推广。     

中西医结合治疗女童衣原体和支原体生殖道感染

观察中西医结合治疗女童沙眼衣原体（ＣＴ）和支原体（ＵＵ）生殖道感染（ＮＳＧＩ）的治疗效果。方法：用中草药冲洗剂日舒安对患儿进行阴道冲洗治疗,用时服用罗力得。治疗后连续３个月复查ＵＵ、ＣＴ检查判断治愈情况。结果：治疗组３２例,治愈３０例,有效率达１００％;对照组３０例,治愈２０例,治愈率６６．７％,统计学处理有显著性差异（Ｐ＜０．０５）。结论：中西医结合治疗女童ＮＳＧＩ比单纯西药治疗更有效。     

胰腺损伤的诊断和外科处理

目的 :探讨胰腺损伤诊断和外科处理的方法。方法 :回顾近 1 0年的 2 4例胰腺损伤病例资料 ,就胰腺损伤的特点、诊断方法及手术处理方式进行分析。结果 :术前术中正确运用各种方法进行诊断 ,行Moore分级 ,确定胰腺损伤的严重程度 ,采用不同的手术方式进行处理。其中 3例因休克致MSOF死亡 ,其他均痊愈。结论 :对胰腺损伤患者及时正确的诊断和外科治疗可减少并发症的发生 ,提高病人的生活质量     

Traditional Chinese medicine combined with Western medicine in the treatment of severe renal failure in patients with epidemic hemorrhagic fever]

This article reports the treatment of 23 cases (with the control group 20 cases) of severe renal failure in patients with epidemic hemorrhagic fever (EHF) by integrated traditional Chinese medicine and western medicine (TCM-WM), i.e., the renal protective decoction and modern medical treatment during the period of 1988-1989. The effects were as follows: (1) The curative rate was elevated and the morbidity was dropped (P less than 0.01-0.05). (2) Both the period of oliguria and albuminuria were shortened (P less than 0.01-0.05). (3) The severity of the complication, e.g., massive gastro-intestinal hemorrhage, etc., was much reduced (P less than 0.05). (4) The degree of azotemia was getting milder. And the renal function was much improved (P less than 0.05). The mode of action of the renal protective decoction is based on the point of view of the TCM in the treatment of infectious disease.     

中西医结合治疗粘连性肠梗阻

[目的]探讨粘连性肠梗阻中西医结合治疗的疗效。[方法]对22例粘连性肠梗阻的临床资料进行分析。[结果]22例中,10例单纯的西医保守治疗,7例4～7天痊愈,2例有效,1例转手术治疗;12例经中西医结合治疗,11例3～5天痊愈,有效1例。[结论]中西医结合治疗粘连性肠梗阻比单纯性西医保守治疗疗效要好,值得临床推广应用。     

297例危重儿SIRS和MODS的回顾性调查

目的：探讨小儿全身炎症反应综合征（ＳＩＲＳ）和多器官功能不全综合征（ＭＯＤＳ）的临床意义。方法：参照第二届世界儿科危重医学大会修订的ＳＩＲＳ和ＭＯＤＳ诊断标准，回顾性调查我院儿科１９９５年１月～１９９９年７月收治的危重患儿２９７例，结果：２９７例患儿中，符合ＳＩＲＳ标准的１０９例，最终进展为ＭＯＤＳ者７８例，各占３６．７％和２６．３％。ＭＯＤＳ的病死率为１９．２％。结论：ＳＩＲＳ和ＭＯＤＳ是危重病