首页|雷火灸结合益肾通淋方对社区老年女性复发性尿路感染的效果

雷火灸结合益肾通淋方对社区老年女性复发性尿路感染的效果

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目的:观察雷火灸结合益肾通淋治疗社区老年女性复发性尿路感染患者的效果.方法:选取2021年8月至2023年3月就诊的老年女性复发性尿路感染患者120例,随机分为两组,最终获得有效干预组57例,对照组59例数据信息.两组均根据中段尿培养结果给予足量敏感抗生素治疗并缓解后,进行分组治疗和观察.对照组给予低剂量抑菌疗法,每日单剂量抗菌素1次,根据具体情况调整药物剂量.治疗组在对照组基础上每日服用益肾通淋方,同时加用雷火灸艾灸治疗,3次/周,共治疗12周.分析患者治疗前后中医证候积分评分疗效、尿常规(尿白细胞、尿红细胞水平)、焦虑(SAS)、抑郁(SDS)评分等各项指标的变化.结果:治疗组在改善中医证候方面疗效优于对照组(P<0.05).治疗前,两组尿白细胞、尿红细胞比较,差异无统计学意义(P>0.05).治疗后,干预组尿白细胞数明显低于对照组(P<0.001);但两组尿红细胞数比较差异无统计学意义(P>0.05).治疗后,干预组SAS和SDS评分均低于对照组(P<0.05).治疗3 个月后,治疗组复发率低于对照组,差异具有统计学意义(P<0.05).结论:雷火灸结合益肾通淋方的治疗方式在社区老年女性复发性尿路感染患者改善临床症状、心理健康及本病的复发率方面有积极作用.
Effect of thunder fire moxibustion combined with Yishentonglin formula on recurrent urinary tract infection in elderly women in the community
Objective:To observe the effect of thunder fire moxibustion combined with Yishentonglin formula in the treatment of recurrent urinary tract infection(RUTI)in the elderly female patients in the community.Methods:One hundred and twenty female patients with recurrent urinary tract infection were selected from August 2021 to March 2023,and divided into two groups randomly.The data information of the intervention group with 57 cases and the control group with 59 cases were collected finally.Two groups were treated with sufficient amount of sensitive antibiotics based on the results of midstream urine culture and observed after mitigation.The control group was given low dose antibacterial therapy,one single dose antibiotics once a day,and according to the real situation the dosage was adjusted.On the base of the control group,the treatment group took Yishentonglin formula and added with thunder fire moxibustion treatment three times a week for twelve weeks.Changes in various indicators of efficacy of traditional Chinese medicine syndrome integral scoring,the scores of urinary routine(levels of white blood cells and red blood cells in urine),anxiety(SAS),depression(SDS)and other indexes before and after treatment were analyzed.Results:The treatment group was better than the control group in improving TCM syndromes(P<0.05).Before treatment,there were no significant differences in urinary white blood cells and urinary red blood cells between the two groups(P>0.05).After treatment the urine white blood cell count in the intervention group was significantly lower than that in the control group(P<0.001);after treatment,there was no significant difference in urine erythrocyte count between the two groups(P>0.05).The scores of SAS and SDS in the intervention group was lower than that in the control group(P>0.05).After 3 months of treatment,the recurrence rate in the treatment group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The combination of thunder fire moxibustion and Yishentonglin formula has positive effect in improving clinical symptoms,mental health and recurrence rate of elderly women with recurrent urinary tract infection in the community.

recurrent urinary tract infectionthunder fire moxibustionYishentonglin formulaelderly women

顾君、王婷、何立群

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上海市普陀区宜川街道社区卫生服务中心中医科,上海 200065

上海中医药大学附属曙光医院肾病科,上海 200021

复发性尿路感染 雷火灸 益肾通淋方 老年女性

上海市普陀区卫生健康系统科技创新项目全国(上海市)名中医普陀传承工作室建设项目

Ptkwws202127Ptzygzs2103

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(10)
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