首页|期刊导航|中国当代医药|血必净对脓毒症诱导急性肺损伤保护机制的研究进展

血必净对脓毒症诱导急性肺损伤保护机制的研究进展OA

Research progress on the protective mechanism of Xuebijing against acute lung injury induced by sepsis

中文摘要英文摘要

脓毒症是临床常见感染性急危重症,其并发的急性肺损伤(ALI)因高发病率、高死亡率,成为重症医学难题,现有西医疗法在改善预后上存在瓶颈.化瘀解毒中药血必净注射液,由红花、丹参等组方组成,通过调控炎症反应、改善微循环等发挥保护作用,在降低脓毒症及ALI患者炎症因子水平、减少器官衰竭发生率上疗效积极,近年成为中西医结合研究热点.但现有研究有明显局限:一是高质量临床研究样本量不足,循证医学证据强度弱;二是作用机制研究多为宏观疗效观察,对调控炎症、凝血、免疫及内皮细胞的机制阐释不深入,关键靶点调控效应待验证.鉴于此,本文梳理相关研究,从分子层面探析血必净干预脓毒症ALI的生物学机制,为优化辨证施治联合靶向干预的临床方案提供理论依据,推动中医药在急危重症领域的规范化应用与发展.

Sepsis is a common clinical infectious critical illness.The acute lung injury(ALI)it causes,with its high inci-dence and mortality rate,has become a difficult problem in critical care medicine.The current western medical treatments have reached a bottleneck in improving prognosis.The traditional Chinese medicine injection Xuebijing,composed of saf-flower,salvia miltiorrhiza,etc.,exerts protective effects by regulating inflammatory responses and improving microcircula-tion.It has shown positive efficacy in reducing the levels of inflammatory factors in patients with sepsis and ALI and in reducing the incidence of organ failure.In recent years,it has become a research hotspot in the field of integrated traditional Chinese and western medicine.However,existing studies have obvious limitations:first,the sample size of high-quality clinical studies is insufficient,and the strength of evidence-based medical evidence is weak.Second,most of the mechanism studies are macroscopic efficacy observations,and the explanations of the mechanisms of regulating inflammation,coagula-tion,immunity,and endothelial cells are not in-depth,and the regulatory effects on key targets need to be verified.In view of this,this article reviews the relevant research and explores the biological mechanism of Xuebijing in the intervention of sepsis-induced ALI at the molecular level,providing a theoretical basis for optimizing the clinical plan of syndrome differentiation and treatment combined with targeted intervention,and promoting the standardized application and development of traditional Chinese medicine in the field of critical illness.

王亭;王畅

天津市滨海新区中医医院重症医学科,天津 300457北京朝阳中西医结合急诊抢救医院重症医学科,北京 100000

医药卫生

脓毒症急性肺损伤血必净

SepsisAcute lung injuryXuebijing

《中国当代医药》 2026 (6)

191-195,5

天津市滨海新区中医医院科技项目(bhzy2024q14).

10.3969/j.issn.1674-4721.2026.06.40

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