首页|丙氨酰谷氨酰胺辅助治疗脓毒症患者的效果

丙氨酰谷氨酰胺辅助治疗脓毒症患者的效果

扫码查看
目的:探讨丙氨酰谷氨酰胺(AG)辅助治疗脓毒症患者的效果。方法:回顾性分析2019年6月—2023年6月兴仁市人民医院收治的 100 例脓毒症患者的临床资料,按不同治疗方法分为两组,各 50 例。对照组给予常规治疗,观察组在对照组基础上加用AG治疗。比较两组临床疗效、营养状况、炎症反应指标、健康水平及不良反应发生率。结果:观察组治疗总有效率为 96。00%,高于对照组的 82。00%,差异有统计学意义(P<0。05)。治疗后,观察组血清白蛋白(ALB)、总蛋白(TP)、前白蛋白(PA)、血红蛋白(HB)高于对照组,C反应蛋白(CRP)、白细胞计数(WBC)、肿瘤坏死因子-α(TNF-α)、降钙素原(PCT)、急性生理与慢性健康状况评分(APACHE Ⅱ)中的急性生理评分、慢性健康评分及总分低于对照组,差异有统计学意义(P<0。05)。两组不良反应总发生率比较,差异无统计学意义(P>0。05)。结论:AG可增强脓毒症治疗效果,加快各血清学指标复常,改善患者营养状况,提高健康水平,安全有效。
Effect of Adjuvant Alanyl Glutamine Therapy in Patients with Sepsis
Objective:To investigate the effect of Alanyl Glutamine(AG)in the adjuvant treatment of sepsis.Method:Clinical data of 100 patients with sepsis admitted to Xingren City People's Hospital from June 2019 to June 2023 were retrospectively analyzed,and they were divided into two groups according to different treatment methods,with 50 cases in each group.The control group received conventional treatment,and the observation group was treated with AG on the basis of the control group.The clinical efficacy,nutritional status,inflammation reaction indexes,health level and incidence of adverse reactions were compared between the two groups.Result:The total effective rate of the observation group was 96.00%,which was higher than 82.00%of the control group,and the difference was statistically significant(P<0.05).After treatment,serum albumin(ALB),total protein(TP),prealbumin(PA)and hemoglobin(HB)in observation group were higher than those in control group,C-reactive protein(CRP),white blood cell count(WBC),tumor necrosis factor-α(TNF-α),procalcitonin(PCT),acute physiological score,chronic health score and total score in acute physiology and chronic health evaluation(APACHE Ⅱ)were lower than those of control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:AG can enhance the treatment effect of sepsis,accelerate the recovery of serological indicators,improve the nutritional status of patients,improve the health level,safe and effective.

SepsisAlanyl GlutamineClinical efficacyImmune functionNutritional statusInflammation level

邓华志

展开 >

兴仁市人民医院 贵州 兴仁 562300

脓毒症 丙氨酰谷氨酰胺 临床疗效 免疫功能 营养状况 炎症水平

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(14)
  • 20