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乌司他丁治疗多器官功能障碍综合征42例临床观察
引用本文:杨航,甄享凡,李洪义,曾红科,林瑞桢.乌司他丁治疗多器官功能障碍综合征42例临床观察[J].广东药学院学报,2006,22(6):672-674.
作者姓名:杨航  甄享凡  李洪义  曾红科  林瑞桢
作者单位:广东省人民医院,急诊科,广东,广州,510080;广东省人民医院,急诊科,广东,广州,510080;广东省人民医院,急诊科,广东,广州,510080;广东省人民医院,急诊科,广东,广州,510080;广东省人民医院,急诊科,广东,广州,510080
摘    要:目的观察乌司他丁治疗多器官功能障碍综合征的临床疗效。方法82例多器官功能障碍综合征患者随机分为两组,对照组40例,采用常规治疗;治疗组42例,在常规治疗的基础上加用静脉注射乌司他丁。观察两组治疗前后血清肿瘤坏死因子、白细胞介素-1、白细胞介素-6的水平。结果治疗组血清肿瘤坏死因子、白细胞介素-1、白细胞介素-6下降均显著优于对照组(P<0.05),治疗组住ICU的时间也比对照组明显缩短(P<0.01)。结论乌司他丁治疗多器官功能障碍综合征疗效较好,可用于多器官功能障碍综合征的治疗。

关 键 词:乌司他丁  多器官功能障碍综合征  肿瘤坏死因子  白细胞介素
文章编号:1006-8783(2006)06-0672-03
收稿时间:2006-11-14
修稿时间:2006-11-28

Clinical observation of ulinastatin in the treatment of multiorgan dysfunction syndrome
YANG Hang, ZHEN Xiang-fan, LI Hong-yi.Clinical observation of ulinastatin in the treatment of multiorgan dysfunction syndrome[J].Academic Journal of Guangdong College of Pharmacy,2006,22(6):672-674.
Authors:YANG Hang  ZHEN Xiang-fan  LI Hong-yi
Abstract:Objective To observe the clinical effect of ulinastatin(UTI) in treating multiorgan dysfunction syndromes(MODS).Methods Eighty-two patients with MODS were randomly divided into two groups.Forty cases in the control group were treated with normal medicine.Forty-two cases in UTI group were treated with normal therapy in combination with UTI through intravenous injection.Two groups were compared on the levels of serum tumor necrosis-a(TNF-a),interleukins-1(IL-1) and IL-6 before and after the treatment.Results The levels of TNF-a,IL-1 and IL-6 in UTI group were significantly lower than those in the control group(P<0.05).Moreover,there was obvious difference between two groups in the total time in ICU(P<0.01).Conclusion UTI are effective on MDS patients,and can be used in the treatment of MODS.
Keywords:ulinastatin  multiorgan dysfunction syndrome  tumor necrosis factor  interleukins
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