医学新知2024,Vol.34Issue(7) :786-795.DOI:10.12173/j.issn.1004-5511.202406083

热淋清颗粒治疗尿路感染的多中心、开放性、Ⅳ期临床研究

A multicenter,open-label and phase Ⅳ clinical study on the treatment of urinary tract infections with Relinqing granules

王树声 张俊华 于雷 唐汇龙 宋旭 叶纯华
医学新知2024,Vol.34Issue(7) :786-795.DOI:10.12173/j.issn.1004-5511.202406083

热淋清颗粒治疗尿路感染的多中心、开放性、Ⅳ期临床研究

A multicenter,open-label and phase Ⅳ clinical study on the treatment of urinary tract infections with Relinqing granules

王树声 1张俊华 2于雷 3唐汇龙 4宋旭 5叶纯华6
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作者信息

  • 1. 广东省中医院泌尿外科(广州 510120)
  • 2. 天津中医药大学中医药研究院(天津 301617)
  • 3. 黑龙江省医院泌尿外科(哈尔滨 150036)
  • 4. 湖南中医药大学第一附属医院泌尿外科(长沙 410021)
  • 5. 上海市第七人民医院泌尿外科(上海 200137)
  • 6. 杭州师范大学附属医院泌尿外科(杭州 310015)
  • 折叠

摘要

目的 评价热淋清颗粒在临床使用中的安全性与有效性,以指导优化临床给药方案和提高合理用药水平.方法 在51家医院进行开放性、Ⅳ期临床试验,受试者为下焦湿热型单纯性或复杂性尿路感染,单纯性尿路感染患者给予热淋清颗粒每次8g、每天3次,疗程5d.复杂性尿路感染患者给予热淋清颗粒每次8 g、每天3次,同时联合喹诺酮类抗生素,疗程7~14 d.结局指标为临床疗效、中医证候疗效、细菌清除率以及安全性.结果 共纳入2 009例受试者,其中11患者失访脱落.全分析集纳入1 998例,其中单纯性尿路感染患者1 532例,复杂性尿路感染患者466例.临床治愈率为68.57%,单纯性和复杂性尿路感染患者分别为74.41%和49.36%.中医证候痊显率为72.22%,单纯性和复杂性尿路感染患者分别为75.13%和6f2.66%.单纯性尿路感染中细菌培养阳性者的细菌转阴率为57.75%,细菌清除率为58.02%;复杂性尿路感染中细菌培养阳性者的细菌转阴率为45.59%,细菌清除率为43.92%.药物相关的不良反应发生24例次,其中单纯性尿路感染17例次,复杂性尿路感染7例次.结论 热淋清颗粒治疗单纯性尿路感染的有效性和安全性较好,也可改善下焦湿热证中医证候.

Abstract

Objective To evaluate the safety and efficacy of Relinqing granules in real-world clinical settings and to provide data-based guidance for optimizing clinical dosing regimens and improving rational drug use.Methods Open and phase Ⅳ clinical trials were conducted in 51 hospitals,with participants suffering from simple or complex urinary tract infections(UTI)caused by dampness and heat in the lower energizer.Patients with simple UTI were given 8 g of Relinqing granules three times a day for 5 days.Patients with complex UTI were given 8 g of Relinqing granules three times a day,in combination with quinolone antibiotics,for a course of 7~14 days.The outcome indicators were clinical efficacy,traditional Chinese medicine syndrome efficacy,bacterial clearance rate,and safety.Results A total of 2 009 subjects were included,of which 11 patients were lost to follow-up and dropped out.A total of 1 998 cases were included in the full analysis set,including 1 532 patients with simple UTI and 466 patients with complex UTI.The clinical cure rate was 68.57%,with 74.41%and 49.36%for patients with simple and complex UTI,respectively.The cure rate of traditional Chinese medicine syndrome was 72.22%,with 75.13%and 62.66%for patients with simple and complex UTI,respectively.The bacterial conversion rate of patients with positive bacterial culture and bacterial clearance rate in simple UTI were 57.75%and 58.02%,respectively;The bacterial conversion rate of patients with positive bacterial culture in complex UTI was 45.59%,and the bacterial clearance rate was 43.92%.There were 24 cases of drug-related adverse reactions,including 17 cases of simple UTI and 7 cases of complex UTI.Conclusion Relinqing granules have good effectiveness and safety in treating simple UTI,and can also improve the traditional Chinese medicine syndrome of damp heat syndrome in the lower energizer.

关键词

热淋清颗粒/尿路感染/Ⅳ期临床试验/临床疗效/安全性

Key words

Relinqing granules/Urinary tract infection/Phase Ⅳ clinical trial/Clinical efficacy/Safety

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出版年

2024
医学新知
武汉大学中南医院,中国农工民主党湖北省委医药卫生工作委员会

医学新知

CSTPCD
影响因子:0.243
ISSN:1004-5511
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