1.Clinical Study of Acute Cerebral Infarction Treated by Resuscitation-inducing Acupuncture Therapy and Naoluotong Recipe
Journal of Guangzhou University of Traditional Chinese Medicine 2015;(3):454-457
Objective To observe the clinical effects of the combination of resuscitation-inducing acupuncture therapy and Naoluotong Recipe ( NR) for the treatment of acute cerebral infarction. Methods By using simple random method, 70 qualified patients were evenly divided into combination group and control group. Both groups were given conventional western medicine treatment and Xiangdan Injection, and additionally, the combination group was given resuscitation-inducing acupuncture therapy and oral use of NR decoction. After treatment, the two groups were evaluated by the United States National Institute of Health Stroke Scale ( NIHSS) scoring and Barthel index ( BI) for independent living ability. Results ( 1) The total effective rate showed by NIHSS scoring was 93. 3% in the combination group and was 72.4% in the control group (P<0.01). ( 2) The results of BI evaluation showed that the disability rate was 43.33% in the combination group and was 75.86%in the control group (P<0.01). (3) After treatment, NIHSS scores in both groups were decreased while BI scores were increased (P<0.05 compared with those before treatment), and the improvement of the scores in the combination group was superior to that of the control group ( P<0.05). Conclusion The combination of resuscitation-inducing acupuncture therapy and oral use of NR decoction can significantly improve neural function and reduce disability rate of patients with acute cerebral infarction, and the curative effect is superior to western medicine alone for the treatment of acute cerebral infarction.
2.Clinical significance of detection of plasma PCT,NT-pro-BNP and cTnT levels in patients with sepsis
Wenli JI ; Qingshan ZHOU ; Lang HU ; Shougui XIANG
Chinese Journal of Infection Control 2016;15(6):412-416
Objective To evaluate whether there is a correlation among plasma levels of procalcitonin (PCT),N-terminal pro-brain natriuretic peptide (NT-pro-BNP)and cardiac troponin T (cTnT)in patients with sepsis,as well as significance to prognosis of patients.Methods 48 patients with sepsis who were admitted to the intensive care unit of a hospital between September 2014 and March 2015 were chosen for study,patients were divided into severe and mild sepsis groups according to the disease condition,plasma levels of PCT,NT-pro-BNP,and cTnT were de-tected,mortality of patients were analyzed statistically,relation between plasma levels of PCT,NT-pro-BNP,cT-nT and patients’death were compared.Results The plasma levels of PCT,NT-pro-BNP and cTnT in severe sepsis group were significantly higher than those in mild sepsis group (all P <0.05);mortality of mild sepsis group was significantly lower than that of severe sepsis group (10.53% vs 41.38%,P <0.05);Levels of PCT,NT-pro-BNP and cTnT levels in died patients were all higher than surviving patients (all P <0.05);levels of PCT and NT-pro-BNP,NT-pro-BNP and cTnT were positively correlated respectively (rs = 0.337,P <0.05;rs =0.456,P =0.001, respectively ),while PCT was not significantly correlated with cTnT.Plasma levels of PCT,NT-pro-BNP,and cTnT were all correlated with the prognosis of patients (P <0.05),and is helpful for judging the prognosis of pa-tients,combination of three indexes had better prognostic value for the prognosis.Conclusion Combination detec-tion of plasmid levels of PCT,NP-pro-BNP,and cTnT can assess the severity of infection in patients with sepsis, and preliminarily judge the prognosis of patients with sepsis.