ZHONGHUA YANGSHENG BAOJIAN ›› 2022, Vol. 40 ›› Issue (20): 1-4.

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Clinical Observation of Xuanbai Chengqi Supplementing and Reducing Prescription in Improving Sepsis-Associated Acute Lung Injury

LIU Hong-shuan1, LI Shuo1,*, LIU Qing-quan2, YANG Hong3   

  1. 1. ICU, Dongzhimen Hospital of Beijing University of Chinese Medicine, Beijing, 100010, China;
    2. Department of Emergency, Beijing Hospital of Traditional Chinese Medicine, Beijing, 101100, China;
    3. Central Laboratory, Chinese Academy of Medical Sciences, Beijing, 100013, China
  • Online:2022-10-16 Published:2022-10-14

Abstract: Objective To observe the clinical efficacy of Xuanbai Chengqi decoction in improving (sepsis-associated acute lung injury, S-ALI). Methods A total of 80 S-ALI patients admitted to Dongzhimen Hospital of Beijing University of Chinese Medicine from January 2020 to December 2021 were selected as research subjects, and were randomly divided into treatment group and control group according to random number table method, with 40 patients in each group. The control group was treated with conventional treatment, and the treatment group was treated with Xuanbai Chengqi supplementing and reducing prescription on the basis of conventional treatment ,both groups were treated for 7 days.. The oxygenation index (PO2/FiO2), respiratory rate (R), 24-hour stool volume of 2 groups were observed before and after treatment. Changes of white blood cell (WBC), C-reactive protein (CRP), alanine aminotransferase (ALT), serum creatinine (SCR), acute physiology and chronic health score (APACHE Ⅱ score), serum iron ion (Fe) and other indicators. Results On the 7th day of treatment,the oxygenation index (PO2/FiO2), 24-hour stool volume and respiratory rate in the treatment group were higher than those in the control group and the differences were statistically significant (P<0.05); WBC, CRP, APACHE Ⅱ score and Fe in the treatment group were lower than those in the control group, the difference was statistically significant (P<0.05). There were no significant differences in ALT and SCR between the treatment group and the control group. Conclusion Xuanbai Chengqi supplementing and reducing prescription can help the patient to improve lung function, gastrointestinal function, and suppress the inflammatory response. At the same time, the prescription has a certain security to liver and kidney.

Key words: sepsis-associated acute lung Injury, Xuanbai Chengqi supplementing and reducing prescription, oxygenation Index, curative effect

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