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Effects and clinical value of Xuebijing Injection on plasma histone H4 in patients with sepsis
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DOI   10.11656/j.issn.1672-1519.2019.07.06
Key Words   Xuebijing Injection;extracellular histone H4;sepsis
Author NameAffiliation
WANG Lijun Department of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, China
Department of Emergency Medicine, Tianjin Medical University General Hospital Airport Site, Tianjin 300308, China 
WANG Jingyuan Department of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, China 
GUO Fei Department of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, China 
WANG Ziyi Department of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin 300052, China 
SONG Ruiwen School of Management, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China 
Abstract
    [Objective] The aim of this study was to observe the effect and clinical value of Xuebijing(XBJ) Injection on plasma histone H4 in patients with sepsis. [Methods] Sixty septic patients admitted to the department of emergency medicine,Tianjin Medical University General Hospital from July 2017 to June 2018,were randomly assigned into the control group (n=30) and intervention group (n=30). Plasma was collected at 0,24 and 72 hrs on admission. The gender,age,APACHE Ⅱ and SOFA scores and 28-day mortality between the two groups were collected. [Results] Compared with the control group,plasma histone H4,D-dimer and IL-6 levels were significantly reduced at 24 hrs in the intervention group (P<0.01). There was no significant difference in plasma D-dimer and IL-6 levels between the two groups at 72 hrs (P>0.05). Compared with the control group,the APACHE Ⅱ and SOFA scores at 72 hrs in the intervention group were statistically reduced (P<0.01). Plasma histone H4 levels were associated with 28-day mortality on admission (P< 0.01). [Conclusion] XBJ injection may correct coagulopathy and inflammatory response,and improve the severity of the disease via reducing histone H4 in septic patients.

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