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目的:通过对178例急性呼吸窘迫综合征(ARDS)患者的临床症状和体征进行观察,并对血瘀证的证候要素进行分析,明确血瘀证在ARDS中的发病作用及规律。方法:根据本研究的病例纳入及排除标准,按照统一制定的调查表录入辽宁中医药大学附属医院2008年～2012年重症医学科(ICU)收治ARDS患者,统计具备血瘀证证候要素的患者占时患者总人数的比例,及178例患者血瘀证症状、体征分布情况。结果:ARDS患者刚入ICU时占时患者人数的21.91%,1周后占52.14%,2周时占63.39%。患者发病后部分血瘀证候在1周时成加重趋势,在2周时较1周无明显变化。结论:ARDS患者中血瘀证是主要症候,在发病1周到2周表现明显。
OBJECTIVE: To observe the clinical symptoms and signs of 178 patients with acute respiratory distress syndrome (ARDS), analyze the syndrome elements of blood stasis syndrome, and clarify the pathogenesis and regularity of blood stasis syndrome in ARDS. Methods: According to the case inclusion and exclusion criteria of this study, patients admitted to the Department of Critical Care Medicine (ICU) at the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from 2008 to 2012 were enrolled in the ARDS according to the unified questionnaire. Patients with syndrome of blood stasis syndrome Accounting for the proportion of the total number of patients, and 178 patients with blood stasis symptoms and signs of distribution. Results: The ARDS patients accounted for 21.91% of the patients when entering the ICU, accounting for 52.14% after 1 week and 63.39% after 2 weeks. After the onset of some patients with blood stasis syndrome became aggravating trend at 1 week, at 2 weeks no significant change compared with 1 week. Conclusion: The blood stasis syndrome is the main symptom in patients with ARDS, manifesting obviously from 1 week to 2 weeks after onset.