[1]高娅妮,王秀锋,陈嘉屿,等.六西格玛DMAIC模型结合中医综合疗法在SAP患者SIRS管理方案中的应用研究[J].西部中医药,2024,37(09):120-124.[doi:10.12174/j.issn.2096-9600.2024.09.26]
　GAO Ya'ni,WANG Xiufeng,CHEN Jiayu,et al.Application Study on Six Sigma DMAIC Model Combined with Traditional Chinese Medicine Therapy in SIRS Management Scheme for SAP Patients[J].Western Journal of Traditional Chinese Medicine,2024,37(09):120-124.[doi:10.12174/j.issn.2096-9600.2024.09.26]
点击复制

六西格玛DMAIC模型结合中医综合疗法在SAP患者SIRS管理方案中的应用研究
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年09期
页码:
120-124
栏目:
临床研究
出版日期:
2024-09-15

文章信息/Info

Title:
Application Study on Six Sigma DMAIC Model Combined with Traditional Chinese Medicine Therapy in SIRS Management Scheme for SAP Patients
作者:
高娅妮, 王秀锋, 陈嘉屿, 于晓辉, 马强, 朱玥璇, 李蔚
联勤保障部队第九四〇医院消化内科，甘肃 兰州 730050
Author(s):
GAO Ya'ni, WANG Xiufeng, CHEN Jiayu, YU Xiaohui, MA Qiang, ZHU Yuexuan, LI Wei
Gastroenterology Department, Hospital 940 of PLA Joint Logistics Support Force, Lanzhou 730050, China
关键词:
急性胰腺炎; 全身炎性反应综合征; 六西格玛DMAIC模型; 中医综合疗法; 应用研究
Keywords:
severe acute pancreatitis; systemic inflammatory response syndrome; the six sigma DMAIC model; TCM comprehensive therapy; application study
分类号:
R248.1
DOI:
10.12174/j.issn.2096-9600.2024.09.26
文献标志码:
B
摘要:
目的探讨以全身炎性反应综合征（systemic inflammatory response syndrome，SIRS）为特征的重症急性胰腺炎（severe acute pancreatitis，SAP）患者应用六西格玛DMAIC模型结合中医综合疗法的临床价值。 方法以确诊为SAP的126例患者为研究对象，采用同期奇、偶数方法分为对照组和六西格玛组各63例，对照组采用西医常规治疗，六西格玛组在对照组基础上采用六西格玛DMAIC模型结合中医综合疗法的SIRS管理方案。观察两组患者血清C反应蛋白（C-reaction protein，CRP）、白细胞介素6（interleukin-6，IL-6）和降钙素原（procalcitonin，PCT）水平以及体温、心率、呼吸、白细胞水平与中医证候积分、临床疗效。 结果与对照组干预后比较，六西格玛组患者血清CRP、IL-6和PCT水平降低（P＜0.05），患者体温、心率、呼吸、白细胞水平降低（P＜0.05），中医证候（发热、口渴、腹痛、舌苔黄腻及总分）积分降低（P＜0.05）。六西格玛组总疗效优于对照组（P＜0.05）。 结论六西格玛DMAIC模型结合中医综合疗法能够有效抑制SAP患者炎症反应，改善中医证候，提高临床疗效。
Abstract:
ObjectiveTo investigate the clinical values of the six sigma DMAIC (define, measure, analyze, improve, control) model and TCM comprehensive therapy applied in patients with severe acute pancreatitis (SAP) characterized by systemic inflammatory response syndrome (SIRS). MethodsAltogether 126 patients with confirmed SAP were chosen as the objects of study, they were divided into the control group and six sigma group using simultaneous odd and even number, the control group adopted conventional therapy of Western medicine, and six sigma group employed SIRS management scheme containing the six sigma DMAIC model and TCM comprehensive therapy based on the control group. To observe the levels of CRP, IL-6 and PCT, body temperature, heart rate, respiration, the levels of white blood cells (WBC), TCM syndrome integrals and clinical effecs in the two groups. ResultsCompared with the control group after the intervention, the levels of CRP, IL-6 and PCT decreased in six sigma group (P<0.05), body temperature, heart rate, respiration, the levels of WBC lowered (P<0.05), TCM syndrome (fever, thirst, abdominal pain, yellow and greasy tongue fur and total scores) integrals reduced (P<0.05). Overall clinical effects of six sigma group were better than these of the control group (P<0.05). ConclusionThe six sigma DMAIC model and TCM comprehensive therapy could effectively inhibit inflammatory response in SAP patients, improve TCM syndromes and enhance clinical effects.

相似文献/References:

[1]曹睿.150例急性胰腺炎的护理体会[J].西部中医药,2014,27(11):143.
[2]贾红梅,于晓辉△,武承风,等.心理护理对妊娠期急性胰腺炎临床疗效的影响[J].西部中医药,2015,28(06):129.[doi:2015/6/16 0:00:00]
[3]李英,王晓素,姜清宇,等.清下化瘀方治疗急性胰腺炎疗效评价[J].西部中医药,2014,27(07):30.
　LI Ying,WANG Xiaosu,JIANG Qingyu,et al.Therapeutic Evaluation of Treating Acute Pancreatitis by the Prescription of Clearing Lower Energizer and Removing Blood Stasis[J].Western Journal of Traditional Chinese Medicine,2014,27(09):30.
[4]陈威,黄庆仪,蒙宇华.大黄附子汤对急性胰腺炎患者血清IL-22及IL-13表达的影响[J].西部中医药,2016,29(05):1.
　CHEN Wei,HUANG Qingyi,MENG Yuhua.The Influence of DaHuang FuZi Tang on the Expressions of IL-22 and IL-13 of the Patients with Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2016,29(09):1.
[5]唐锐,王颖,梁勤.健胃清肠合剂两种方法注入治疗轻症急性胰腺炎麻痹性肠梗阻疗效观察[J].西部中医药,2016,29(05):119.
　TANG Rui,WANG Ying,LIANG Qin.Curative Observation on Injection of JianWei QingChang Mixture by Two Methods in Treating Mild Acute Pancreatitis Paralytic Ileus[J].Western Journal of Traditional Chinese Medicine,2016,29(09):119.
[6]解华,徐娜娜,程娟.中医护理干预联合健康教育对急性胰腺炎患者生活质量及并发症的影响[J].西部中医药,2017,30(11):112.
　XIE Hua,XU Nana,CHENG Juan.Influence of TCM Nursing Intervention Combined with Health Education on Quality of Life and the Complication of the Patients with Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2017,30(09):112.
[7]李强,张永莉.奥曲肽联合柴胡承气汤治疗急性胰腺炎52例[J].西部中医药,2018,31(08):1.
　LI Qiang,ZHANG Yongli.Octreotide Combined with ChaiHu ChengQi Decoction in Treating 52 Cases of Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2018,31(09):1.
[8]宋杰,廖健思,王建超,等.安胰颗粒联合麻杏石甘汤治疗重症急性胰腺炎相关性肺损伤疗效观察[J].西部中医药,2022,35(01):109.[doi:10.12174/j.issn.2096-9600.2022.01.26]
　SONG Jie,LIAO Jiansi,WANG Jianchao,et al.Observation on Effects of Anyi Grannules Joined with Maxing Shigan Decoction in the Treatment of SAP-associated Lung Injury[J].Western Journal of Traditional Chinese Medicine,2022,35(09):109.[doi:10.12174/j.issn.2096-9600.2022.01.26]
[9]王秀锋,陈嘉屿,马强,等.重症急性胰腺炎并发脾静脉血栓的防治与研究进展[J].西部中医药,2022,35(07):157.[doi:10.12174/j.issn.2096-9600.2022.07.40]
　WANG Xiufeng,CHEN Jiayu,MA Qiang,et al.Prevention and Treatment of Severe Acute Pancreatitis Complicated with Splenic Vein Thrombosis and Therapeutic Advances[J].Western Journal of Traditional Chinese Medicine,2022,35(09):157.[doi:10.12174/j.issn.2096-9600.2022.07.40]
[10]余良,黎丽群,刘洪武,等.中药汤剂治疗急性胰腺炎系统评价再评价[J].西部中医药,2021,34(05):85.[doi:10.12174/j.issn.2096-9600.2021.05.22]
　YU Liang,LI Liqun,LIU Hongwu,et al.Reassessment of Systematic Review of Herbal Decoction in the Treatment of Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2021,34(09):85.[doi:10.12174/j.issn.2096-9600.2021.05.22]

备注/Memo

备注/Memo:
高娅妮（1981—），女，主管护师。研究方向：消化内科危重症护理。甘肃省自然科学基金（22JR5RA015）；中国人民解放军联勤保障部队第940医院院内课题（2021yxky073，2023YXKY019）。
更新日期/Last Update: 2024-09-15