| 社区获得性肺炎合并脓毒症中医证型分布及其与C反应蛋白、降钙素原、D-二聚体关系的研究 |
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| 引用本文： | 严理,孙吉,杨盼,钱义明,赵雷,钱风华. 社区获得性肺炎合并脓毒症中医证型分布及其与C反应蛋白、降钙素原、D-二聚体关系的研究[J]. 上海中医药杂志, 2015, 49(4): 16-18 |
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| 作者姓名： | 严理 孙吉 杨盼 钱义明 赵雷 钱风华 |
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| 作者单位： | 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,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,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,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,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,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 |
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| 基金项目： | 国家中医药管理局“十二五”重点专科建设项目(ZJ0901JZ015) |
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| 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(P0.05),均明显高于邪毒袭肺证(P0.01);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(P0.01),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(P0.01);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(P0.01),瘀毒内阻证D-Di水平明显高于热入营血证(P0.01);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。
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| 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 |
| 收稿时间： | 2014-12-19 |
Study on Chinese medicine syndrome types and correlative indicators in community-acquired pneumonia with sepsis |
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| YAN Li,SUN Ji,YANG Pan,QIAN Yi-ming,ZHAO Lei and QIAN Feng-hua. Study on Chinese medicine syndrome types and correlative indicators in community-acquired pneumonia with sepsis[J]. Shanghai Journal of Traditional Chinese Medicine, 2015, 49(4): 16-18 |
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| Authors: | YAN Li SUN Ji YANG Pan QIAN Yi-ming ZHAO Lei QIAN Feng-hua |
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| Affiliation: | Yueyang Hospital of Integrative Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Yueyang Hospital of Integrative Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Yueyang Hospital of Integrative Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Yueyang Hospital of Integrative Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine,Yueyang Hospital of Integrative Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine and Yueyang Hospital of Integrative Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine |
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| Abstract: | |
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| Keywords: | community-acquired pneumonia sepsis syndrome of TCM CRP PCT D-Di |
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