ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-05-026 临床药物与手术治疗 2026, 2(05): 101-104

莫沙必利对重症脓毒症患者胃肠功能障碍改善价值研究

山西省中西医结合医院

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摘要

目的 分析重症脓毒症患者实施莫沙必利干预对其胃肠功能障碍改善的效果。方法 选择我院2024年3月至2025年10月收录的重症脓毒症合并胃肠功能障碍患者,共86例,采用随机数字表法分组,对照组实施脓毒症常规治疗结合常规胃肠治疗,观察组在对照组基础上增加莫沙必利干预,分析两组胃肠功能指标、胃肠动力相关标志物、炎症因子水平、住院指标以及不良反应。结果 观察组胃肠功能指标改善优于对照组(P<0.05),观察组患者干预后胃肠动力相关标志物指标均显著上升(P<0.05),观察组患者与炎症因子水平相关的指标均显著降低(P<0.05),观察组患者住院时间以及机械通气时间较短(P<0.05),两组不良反应发生率无显著差异(P>0.05)。结论 重症脓毒症患者实施莫沙必利干预可有效促进患者胃肠功能的恢复,降低炎症水平,缩短住院时间,且安全性良好。

Abstract

Objective To analyze the effect of mosapride intervention on gastrointestinal dysfunction in patients with severe sepsis. Methods A total of 86 patients with severe sepsis complicated with gastrointestinal dysfunction collected in our hospital from March 2024 to October 2025 were selected and randomly divided into two groups. The control group received conventional treatment of sepsis combined with conventional gastrointestinal treatment, and the observation group received mosapride intervention on the basis of the control group. The gastrointestinal function indexes, gastrointestinal motility related markers, inflammatory factor levels, hospitalization indexes and adverse reactions of the two groups were analyzed. Results The improvement of gastrointestinal function indexes in the observation group was better than that in the control group(P<0.05). The gastrointestinal motility related markers in the observation group were significantly increased after the intervention(P<0.05), and the indexes related to the level of inflammatory factors in the observation group were significantly decreased(P<0.05). The hospitalization time and mechanical ventilation time in the observation group were shorter(P<0.05), and there was no significant difference in adverse reactions incidence between the two groups(P>0.05). Conclusion Mosapride intervention in patients with severe sepsis can effectively promote the recovery of gastrointestinal function, reduce the level of inflammation, shorten the length of hospital stay, and has good safety.

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[1]郭晓菲.莫沙必利对重症脓毒症患者胃肠功能障碍改善价值研究[J].疾病预防与控制,2026,2(05):101-104.