Sepsis
Conditions
Keywords
Gastrointestinal dysfunction, sepsis, trauma
Brief summary
Random grouping by computer, divided into two groups, a group of rhubarb treatment group, another group for the placebo group.
Detailed description
Patients were randomly divided into two groups, using rhubarb powder or placebo. Rhubarb is commercially certified rhubarb(Rheum palmatum, Sichuan origin, provided by the pharmacy of my hospital), ground into a powder, over 80 mesh steel mesh, Two days before 6g, three times / day, oral or nasal feeding, two days later reduced to 3g, three times / day, oral or nasal feeding; Another group of patients taking placebo, with the same dose of Rhubarb; The overall course of the two drugs was a week.
Interventions
Rhubarb is commercially certified rhubarb(Rheum palmatum , Sichuan origin, provided by the pharmacy of my hospital), ground into a powder, over 80 mesh steel mesh.The dose is 6g in the first 2 days, 3 times / day, oral or nasal feeding,two days later the dose is reduced to 3g, three times / day, oral or nasal feeding.
Starch Corn is harmless to people .The use dosage is same as Rheum Palmaturn Root.The dose is 6g in the first 2 days, 3 times / day, oral or nasal feeding,two days later the dose is reduced to 3g, three times / day, oral or nasal feeding.
Sponsors
Study design
Intervention model description
Patients were randomly divided into two groups ,using rheum palmatum or placebo
Eligibility
Inclusion criteria
1. Age:18-65 year old; 2. Diagnosis: sepsis with gastrointestinal dysfunction (II-III grade AGI); gastrointestinal dysfunction after trauma (II-III AGI); 3. Complete gastrointestinal tract anatomic structure(including the ileum and colon stoma)
Exclusion criteria
1. Hemodynamic instability; 2. Underlying diseases: cardiac function III\ IV, chronic liver dysfunction Child-Pugh score \>9 points; 3. Less than 5 days after surgery for stomach and small intestine,less than 7 days after Colonic surgery, Postoperative gastrointestinal leakage; 4. Abdominal Compartment Syndrome; 5. mechanical ileus 6. active gastrointestinal hemorrhage
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The remission rate of gastrointestinal dysfunction | 2 weeks | The rate of patients who can tolerate 1000Kcal whole protein enteral nutrition in all subjects |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The ratios of L/M in human urine samples | 7 days | The ratios oflactulose / mannitol in human urine samples |
| citrulline | 7 days | The contents of citrulline in human serum samples |
| D- lactic acid | 7 days | The contents of citrulline in human serum samples |
Countries
China