补肾通淋汤联合阿莫西林克拉维酸钾治疗慢性泌尿系统感染临床研究
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Clinical Study on Bushen Tonglin Decoction Combined with Amoxicillin Clavulanate Potassium for Chronic Urinary System Infection
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    摘要:

    目的:观察补肾通淋汤联合阿莫西林克拉维酸钾治疗慢性泌尿系统感染的临床疗效及对血清降钙 素原(PCT)、尿液白细胞计数的影响。方法:选取99 例慢性泌尿系感染患者,按照随机数字表法分为观察组 50 例和对照组49 例。观察组给予补肾通淋汤联合阿莫西林克拉维酸钾治疗,对照组给予呋喃妥因片联合阿莫 西林克拉维酸钾治疗。观察2 组临床疗效、中医证候评分、血清PCT、尿液白细胞计数变化情况。结果:观察 组总有效率为92.00%,高于对照组77.55%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组尿频、余 沥不净、少腹坠胀、腰酸、神疲乏力等中医证候评分均较治疗前降低(P<0.05),且观察组上述各项评分均低 于对照组(P<0.05)。治疗后及随访1、2、3 个月,观察组各个时段的血清PCT、尿液白细胞计数水平均低于 对照组,差异均有统计学意义(P<0.05)。结论:补肾通淋汤联合阿莫西林克拉维酸钾治疗慢性泌尿系统感染 可提高临床疗效,降低血清PCT 及尿液白细胞计数,改善患者中医证候。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of Bushen Tonglin Decoction combined with Amoxicillin Clavulanate Potassium on chronic urinary system infection and its effect on serum procalcitonin (PCT) and urine white blood cell count. Methods: A total of 99 patients with chronic urinary system infection were selected and divided into the observation group (50 cases) and the control group (49 cases) according to random number table method. The observation group was given the therapy of Bushen Tonglin Decoction combined with Amoxicillin Clavulanate Potassium,and the control group was treated with Furantoin Tablets combined with Amoxicillin Clavulanate Potassium. The clinical effects and the changes of the traditional Chinese medicine (TCM) syndrome scores,serum PCT and urine white blood cell were observed in the two groups. Results:The total effective rate was 92.00% in the observation group, higher than that of 77.55% in the control group,the difference being significant (P<0.05). After treatment, the scores of TCM syndromes such as frequent urination,dribble of urine,low abdominal distension,low back pain,lassitude of the spirit and lack of strength were all decreased when compared with those before treatment in the two groups (P<0.05), and the above scores in the observation group were lower than those in the control group (P<0.05). After treatment and one, two and three months of follow- up, the levels of serum PCT and urine white blood cell count in the observation group were lower than those in the control group at each time, differences being significant (P<0.05). Conclusion: The therapy of Bushen Tonglin Decoction combined with Amoxicillin Clavulanate Potassium can improve clinical effect on chronic urinary system infection,which can reduce serum PCT and urine white blood cell count and improve the TCM syndromes.

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吴继现,何爱美,金丽丰,雷淑芬.补肾通淋汤联合阿莫西林克拉维酸钾治疗慢性泌尿系统感染临床研究[J].新中医,2023,55(20):81-84

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  • 在线发布日期: 2023-10-27
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