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陈哲宇,齐清会.抗炎灵对腹部外科全身炎性反应综合征和多器官功能不全综合征患者细胞因子和C-反应蛋白作用的研究[J].,2001,(2):102-104
抗炎灵对腹部外科全身炎性反应综合征和多器官功能不全综合征患者细胞因子和C-反应蛋白作用的研究
Study for Effect of Kangyanling on Cytokine and C-Reactive Protein in Patients of Systemic Inflammatory Reaction Syndrome and Multi-Organ Dysfunction Syndrome after Abdominal Surgery
  
DOI:
中文关键词:  抗炎灵  腹部外科  细胞因子  C-反应蛋白  全身性反应综合征  多器官功能不全综合征
英文关键词:Kangyanling  abdominal surgery  cytokine  C reactive protein  systemic inflammatory reaction syndrome  multi organ dysfunction syndrome
基金项目:天津市自然科学基金课题!(No .98360 91 1 1 )
Author NameAffiliation
CHEN Zhe yu 天津市宝坻县医院 
QI Qing hui 天津医科大学总医院 
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中文摘要:
      目的 :观察抗炎灵对腹部外科全身炎性反应综合征和多器官功能不全综合征 (SIRS/MODS)的治疗作用。方法 :以腹部外科术后SIRS/MODS 82例患者为研究对象 ,按入院时间分为两组 :对照组 4 7例 ,抗炎灵治疗组 35例。分别于术后 1、3及 7天观察血清C 反应蛋白 (CRP)和血浆肿瘤坏死因子 α(TNF α)、白细胞介素 6(IL 6)的含量并进行比较。结果 :血清CRP和血浆TNF α和IL 6等指标两组术后均逐渐下降 ,第 3天时两组比较差异有显著性 (P <0 0 5) ,治疗组下降明显加快。结论 :抗炎灵能抑制炎症介质释放 ,减轻炎性反应 ,有效地治疗腹部外科SIRS/MODS。
英文摘要:
      Objective: To observe the clinical effect and mechanism of Kangyanling (KYL) in treating patients with systemic inflammatory reaction syndrome and multi organ dysfunction syndrome (SIRS/MODS) after abdominal surgery. Methods: Eighty two patients of SIRS/MODS after abdominal surgery were divided into two groups according to admission time, the KYL treated group (n=35) and the control group (n=47). The levels of serum C reactive protein (CRP), plasma tumor necrosis factor α (TNF α) and interleukin 6 (IL 6) were measured at the 1st, 3rd and 7th day post operationally. Results: The levels of CRP, TNF α and IL 6 decreased gradually after surgical operation in both groups, but the reducing velocity was shorter in the KYL group than that in the control group, so the comparison of the levels in the two group showed significant difference on the 3rd day after operation (P<0 05). Conclusion: KYL could inhibit the release of inflammatory mediator and relieve the inflammatory response so as to treat post operational SIRS/MODS effectively.
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