首页|小柴胡汤加减治疗下焦湿热型尿路感染63例

小柴胡汤加减治疗下焦湿热型尿路感染63例

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目的 观察小柴胡汤加减治疗下焦湿热型尿路感染的临床疗效.方法 将 126 例符合纳入标准的下焦湿热型尿路感染患者按照随机数字表法分为治疗组与对照组,各 63 例.对照组给予头孢克肟分散片治疗,治疗组给予头孢克肟分散片+小柴胡汤加减治疗.比较两组患者疗效、治疗前后中医证候积分、治疗后尿常规、不良反应.结果 治疗组总有效率为 98.4%,对照组总有效率为 88.9%,治疗组疗效优于对照组(P<0.05).治疗后,治疗组中医证候积分(1.87±0.95)分明显低于对照组的(3.03±0.04)分(P<0.05).治疗组尿常规恢复正常率为 98.4%,优于对照组的 88.9%(P<0.05).两组均未发生严重药物不良反应.结论 小柴胡汤加减治疗下焦湿热型尿路感染临床疗效显著,值得临床推广和使用.
Treatment of 63 cases of urinary tract infection with syndrome of dampness-heat in lower Jiao by modified Xiaochaihu decoction
Objective To observe the clinical efficacy of modified Xiaochaihu decoction in the treatment of urinary tract infection with syndrome of dampness-heat in lower Jiao.Methods 126 cases of urinary tract infection with syndrome of dampness-heat in lower Jiao who met the inclusion criteria were divided into a treatment group and a control group according to random number table method,with 63 cases in each group.The control group was treated with cefixime dispersible tablets,and the treatment group was treated with cefixime dispersible tablets and modified Xiaochaihu decoction.The efficacy,traditional Chinese medicine syndrome score before and after treatment,urine routine after treatment and adverse reactions were compared between the two groups.Results The total effective rate of the treatment group was 98.4%,and that of the control group was 88.9%.The curative effect of the treatment group was better than that of the control group(P<0.05).After treatment,the traditional Chinese medicine syndrome score of the treatment group was(1.87±0.95)points,which was significantly lower than(3.03±0.04)points of the control group(P<0.05).The recovery rate of urine routine in the treatment group was 98.4%,which was better than 88.9%in the control group(P<0.05).No serious adverse drug reactions occurred in both groups.Conclusion Modified Xiaochaihu decoction has significant clinical efficacy in the treatment of urinary tract infection with syndrome of dampness-heat in lower Jiao,and is worthy of clinical promotion.

Xiaochaihu decoctionDampness-heat in lower JiaoUrinary tract infection

冉倩虹、欧雪梅、钟红卫

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646000 西南医科大学

646000 西南医科大学附属中医医院老年病科

小柴胡汤 下焦湿热 尿路感染

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(5)
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