Zhang Nai, Liu Yu-Juan, Yang Chuang, Zeng Peng, Gong Tao, Tao Lu, Zheng Ying, Chen Ting-Ting
Department of Emergency, Jiangxi Province Hospital of Integrated Chinese and Western Medicine, Nanchang, 330003, China.
Department of Nursing, Jiangxi Province Hospital of Integrated Chinese and Western Medicine, Nanchang, 330003, China.
Heliyon. 2023 Oct 28;9(11):e21713. doi: 10.1016/j.heliyon.2023.e21713. eCollection 2023 Nov.
The concept of sepsis has recently evolved from one of a 'systemic inflammatory response syndrome caused by infection' to a 'severe, potentially fatal organic dysfunction caused by an inadequate or imbalanced host response to infection'. Organ dysfunction is closely related to sepsis. Multiple organ dysfunction syndrome (MODS) is the most serious outcome of sepsis, often leading to a poor prognosis. However, specific drugs for sepsis and MODS caused by sepsis remain undetermined, and the fatality rate is relatively high. Under the guidance of modern medicine, traditional Chinese medicine (TCM) has gained a wealth of experience in the prevention and treatment of sepsis and plays a key role via the effects of its numerous components, pathways and targets. This study used 'Sepsis', 'Organ dysfunction' and 'Traditional Chinese medicine' as strategies for searching the databases of Chinese National Knowledge Infrastructure, Wanfang, PubMed and The Web of Science. This paper presents an overview of the current status of TCM component formulations for preventing and treating sepsis with MODS to provide a theoretical basis for clinical treatment and drug development.
脓毒症的概念最近已从“由感染引起的全身炎症反应综合征”演变为“由宿主对感染的反应不足或失衡导致的严重、潜在致命的器官功能障碍”。器官功能障碍与脓毒症密切相关。多器官功能障碍综合征(MODS)是脓毒症最严重的后果,常导致预后不良。然而,针对脓毒症及脓毒症所致MODS的特效药物仍未确定,病死率相对较高。在现代医学的指导下,中医药在脓毒症的防治方面积累了丰富经验,并通过其众多成分、途径和靶点发挥关键作用。本研究以“脓毒症”“器官功能障碍”和“中医药”为检索词,检索中国知网、万方、PubMed及Web of Science数据库。本文概述了中医药复方制剂防治脓毒症合并MODS的研究现状,为临床治疗和药物研发提供理论依据。