首页|老年女性再发性尿路感染中医证候要素及证型分布规律研究

老年女性再发性尿路感染中医证候要素及证型分布规律研究

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目的:研究老年女性再发性尿路感染中医证候要素及证型分布规律,为优化诊疗方案,指导临床辨证论治提供客观依据.方法:收集200例老年女性再发性尿路感染患者的临床资料,对采集到的资料进行频数分析、聚类分析,总结老年女性再发性尿路感染中医证候要素及证型分布规律.结果:200例老年女性再发性尿路感染患者证候要素有:湿热、阳虚、血瘀、阴虚、气虚、气滞.中医证型有:脾肾阳虚,湿瘀互结证;脾肾阳虚,湿热下注证;气阴两虚,湿热下注证;肝郁脾虚,湿热下注证;肝肾阴虚,湿热下注证.结论:老年女性再发性尿路感染为本虚标实,虚实夹杂之证.治疗时应从温阳利湿活血、益气养阴、疏肝健脾、滋补肝肾等多方面考虑,清热利湿之法则应贯穿始终.
Study on TCM Syndrome Elements and Pattern Distribution of Recurrent Urinary Tract Infection in Elderly Women
Objective:To study the distribution of TCM syndrome elements and syndrome types of recurrent urinary tract infection in elderly women,so as to provide objective basis for optimizing diagnosis and treatment plan and guiding clinical syndrome differentiation and treat-ment.Methods:The clinical data of 200 elderly women with recurrent urinary tract infection were collected,and the frequency analysis and cluster analysis were carried out to summarize the TCM syndrome elements and syndrome type distribution law of elderly women with recur-rent urinary tract infection.Results:The syndromes of 200 elderly women with recurrent urinary tract infection included damp-heat,Yang deficiency,blood stasis,Yin deficiency,Qi deficiency and qi stagnation.TCM syndrome types are:spleen-kidney Yang deficiency,damp-ness-stasis interjunction syndrome;Spleen-kidney Yang deficiency,dampness-heat syndrome;Qi and Yin deficiency,dampness-heat syn-drome;Liver depression and spleen deficiency,dampness-heat syndrome;Yin deficiency of liver and kidney,dampness-heat syndrome.Conclusion:The recurrent urinary tract infection in elderly women is the syndrome of deficiency with deficiency and insufficiency.The treat-ment should be considered from many aspects,such as warming Yang and removing dampness,promoting blood circulation,invigorating qi and Yin,soothing liver and spleen,nourishing liver and kidney,and the law of clearing heat and removing dampness should be carried out throughout.

Recurrent urinary tract infectionElderly womenSyndrome elementsPattern distribution

乔荣、李琦、张莉

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内蒙古医科大学 内蒙古 呼和浩特 010000

内蒙古自治区中医医院肾病科 内蒙古 呼和浩特 010000

再发性尿路感染 老年女性 证候要素 证型分布

2024

内蒙古中医药
内蒙古自治区中医药学会,内蒙古自治区中蒙医研究所

内蒙古中医药

影响因子:0.444
ISSN:1006-0979
年,卷(期):2024.43(8)