Clinical Study On Adjust Qi And Stomach Method In Treating Sepsis With Gastrointestinal Dysfunction Of Qijiyongzhi Type

Objective: This study aims to observe Banxiaxiexintang to Sepsis with Qijiyongzhitype Gastrointestinal Dysfunction of clinical curative effect, and evaluation of patients inserious condition and the influence of the degree of prognosis.Methods: In establishing the strict diagnostic criteria, inclusion criteria, exclusioncriteria and the evaluation standard，this study select ShanDong university of traditionalChinese medicine hospital ICU complies with the standards in80cases.The principle ofusing random balance control,80subjects were eligible subjects randomly divided intotwo groups.40cases of control group, to give the conventional treatment of traditionalChinese and western medicine;40cases of treatment group, to give the conventionaltreatment of traditional Chinese and western medicine and Banxiaxiexintang（Shuijianji400ml/d, morning and evening hours service）.Above two groups of medication14days,7days with14days to the clinical symptoms laboratory indicators do observation before andafter treatment.Results: According to the statistical data analysis：1、The treatment group within14days of mortality rate of17.5%, to37.5%in control group（with significant differencesbetween the two groups,P <0.05);The total effective rate was77.5%in treatment groupand55%in control group (with significant differences between the two groups,P <0.05)；Two groups of APACHEⅡscore is no significant differences before treatment, treatmentafter14days treatment group score significantly lower than those of the control group,with significant differences between the two groups (P <0.05);14days after two groups ofenteral nutrition tolerance rate increase, the treatment group is80%, the control groupfor57.5%, two groups of comparisons P <0.05.2、After14days, the treatment group TCM symptoms improved, with the total effective rate of77.5%; Control group totaleffectiveness55%,two groups of P <0.05, there are significant differences in treatmentgroup than in control group.3、Inflammatory reaction：After treatment, the two groups ofWBC count and PCT count decreased, the treatment group down more apparent, twogroups of comparisons significant difference (P <0.05)。4、Blood coagulation index:Before treatment the treatment group PLT number no significant changes, the controlgroup PLT number down than before, two groups of comparisons significant difference (P<0.05)；APTT count compared between the two groups were no significant difference (P>0.05).Conclusions：Banxiaxiexintang can reduce the septic patients inflammation, correctsepsis gastrointestinal disorders, and improve the utilization rate of enteral nutrition,reduce the severity of symptoms in patients, reducing mortality rates, improve theprognosis.