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目的:探讨胸部创伤后并发ARDS病人的中西医结合治疗效果。方法:选择40例重度胸外伤或胸部手术后并发ARDS病人,随机分成两组,中西医结合治疗组20例,除西医治疗外,加以中药大黄汤剂;对照组20例,单用西医支持治疗;通过监测呼吸机治疗时间,对其效果进行分析。结果:对照组死亡3例,中西医结合治疗组死亡2例,治愈病例的机械通气时间:中西医结合组3～14d,平均8.72d;对照组7～20d,平均13.38d;两组比较有显著性统计学差异(P<0.05)。结论:胸部创伤后并发ARDS病人在西医支持治疗同时,联合中药大黄,可缩短机械通气时间,效果满意。
Objective: To investigate the therapeutic effect of integrated traditional Chinese and western medicine on patients with ARDS after thoracic trauma. Methods: Forty patients with severe acute thorax trauma or thoracic surgery complicated with ARDS were randomly divided into two groups: 20 cases in combination with traditional Chinese medicine and western medicine, except for Western medicine, with Chinese herb rhubarb decoction; in control group, 20 cases were treated with western medicine alone ; By monitoring the ventilator treatment time, its effect was analyzed. Results: There were 3 deaths in the control group and 2 deaths in the Integrative Medicine group. The mean duration of mechanical ventilation was 3 to 14 days in the Integrative Medicine Group (averaged 8.72 days) and 7 to 20 days in the control group (13.38 days) Significant statistical difference (P <0.05). CONCLUSION: ARDS patients with traumatic trauma can be treated with western medicine. Combined with rhubarb, the time of mechanical ventilation can be shortened, and the effect is satisfactory.