首页|血必净注射液在重症肺炎患者中的应用效果及对氧代谢、Toll样受体的影响

血必净注射液在重症肺炎患者中的应用效果及对氧代谢、Toll样受体的影响

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目的:探究血必净注射液在重症肺炎患者中的应用效果及对氧代谢、Toll样受体的影响.方法:将 2019 年 12 月—2023 年 1 月辽阳市中心医院收治的 100 例重症肺炎患者根据随机数字表法分为对照组(n=50)和观察组(n=50).对照组进行常规肺炎治疗,观察组则在对照组的基础上加用血必净注射液.比较两组治疗总有效率和治疗前后的炎症因子[C反应蛋白(CRP)、降钙素原(PCT)及白细胞计数(WBC)]、氧代谢指标[氧供(DO2)、氧耗(VO2)、氧供指数(DO2I)及氧耗指数(VO2I)]、Toll样受体[Toll样受体 2(TLR2)及Toll样受体 4(TLR4)].结果:观察组治疗总有效率显著高于对照组,差异有统计学意义(P<0.05);治疗前两组炎症因子、氧代谢指标及Toll样受体比较,差异均无统计学意义(P>0.05);治疗 1、2 周后,观察组炎症因子及Toll样受体均显著低于对照组,氧代谢指标均显著高于对照组,差异均有统计学意义(P<0.05).结论:血必净注射液在重症肺炎患者中的应用效果较好,可显著改善患者的氧代谢,下调Toll样受体表达.
Application Effect of Xuebijing Injection in Patients with Severe Pneumonia and Its Influence on Oxygen Metabolism and Toll Like Receptor
Objective:To investigate the application effect of Xuebijing Injection in patients with severe pneumonia and its influence on oxygen metabolism and Toll like receptor.Method:A total of 100 patients with severe pneumonia admitted to Liaoyang City Central Hospital from December 2019 to January 2023 were divided into control group(n=50)and observation group(n=50)according to random number table method.The control group received routine treatment for pneumonia,and the observation group received Xuebijing Injection on the basis of the control group.The total effective rate and before and after treatment of inflammatory factors[C reactive protein(CRP),procalcitonin(PCT)and white blood cell count(WBC)],oxygen metabolism indexes[oxygen delivery(DO2),oxygen consumption(VO2),oxygen delivery index(DO2I)and oxygen consumption index(VO2I)]and Toll like receptor[Toll like receptor 2(TLR2),Toll like receptor 4(TLR4)]were compared between the two groups.Result:The total effective rate of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in inflammatory factors,oxygen metabolism indexes and Toll like receptor between the two groups(P>0.05).After 1 week and 2 weeks of treatment,inflammatory factors and Toll like receptor in observation group were significantly lower than those in control group,and oxygen metabolism indexes were significantly higher than those in control group,the differences were statistically significant(P<0.05).Conclusion:Xuebijing Injection has good application effect in patients with severe pneumonia,which can significantly improve oxygen metabolism and down-regulate Toll like receptor expression.

Xuebijing InjectionSevere pneumoniaOxygen metabolismToll like receptor

穆丹、陈荣娟、陈霞

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辽阳市中心医院呼吸与危重症科 辽宁 辽阳 111000

血必净注射液 重症肺炎 氧代谢 Toll样受体

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(7)
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