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胃肠功能在危重症医学中起着至关重要的作用,胃肠道作为全身炎症反应综合征的触发器和始动器,是脓毒症以及多脏器功能障碍的中心器官,因此胃肠功能受到越来越多的关注和研究。ESICM针对重症患者的胃肠功能衰竭,提出了急性胃肠损伤的概念,应作为今后研究的基础。本文通过对危重症患者胃肠功能衰竭的中医文献研究,发现虚证和虚实夹杂证的证候表现较为突出,脏腑辨证多定位在脾、胃和肠腑,病理因素以寒、气、虚为主。根据笔者多年的临床经验,中药以温下通腹、救逆固脱为大法,助于改善患者的胃肠功能。故寻求中医药治疗方法或者联合中医药治疗手段,并深入研究其作用机制,是危重症患者胃肠功能研究的优势和可能的突破口。
Gastrointestinal function plays a crucial role in critical care medicine. The gastrointestinal tract, as a trigger and a trigger for systemic inflammatory response syndrome, is a central organ for sepsis and multiple organ dysfunction. Therefore, gastrointestinal Function is receiving more and more attention and research. ESICM addresses the concept of acute gastrointestinal injury in critically ill patients with gastrointestinal failure and should be used as a basis for future research. In this paper, we study the TCM literature of gastrointestinal failure in critically ill patients and find that syndromes of deficiency syndrome and syndrome of actuality and deficiency syndrome are more prominent. The syndrome differentiation of organs and organs is mostly located in the spleen, stomach and intestines. The pathological factors are cold, the Lord. According to the author’s many years of clinical experience, traditional Chinese medicine to warm the abdomen, rescued from solid off to Dafa, help to improve the patient’s gastrointestinal function. Therefore, seeking Chinese medicine treatment methods or the treatment of traditional Chinese medicine, and in-depth study of its mechanism of action is critical for gastrointestinal function in critically ill patients and possible breakthrough.