清利汤治疗急性尿路感染的临床探究.pdfVIP

提 要 目的：观察验方清利汤对急性尿路感染(UTI)的临床疗效，并探讨其作用机理。 方法：按既定标准选取尿路感染病例60例，随机分为治疗组和对照组，各30例，治 疗组用清利汤（水煎服，日一剂，早晚各一次）；对照组予银花泌炎灵（每次 4 片， 每日3次）。两组均以7日为一疗程。定位诊断用β2-微球蛋白（β2-MG）。下尿路感 染观察一个疗程，上尿路感染观察2-3个疗程。观察治疗前后两组的尿常规、清洁中 段尿细菌培养以及中医症状积分变化，比较其疗效差异。结果：1.两组上尿路感染发 病率无明显差异（P0.05）。2.经治疗后治疗组的症状体征明显改善（P0.05），患者 的尿白细胞（WBC）、红细胞（RBC）及尿蛋白（Pro）明显改善（P ＜0.01 ），治疗组与 对照组的比较有统计学意义（P0.05 ）。3.清洁中段尿细菌转阴率有显著差异 （P0.01 ）。4.治疗组用药前后肝肾功能变化不显著（P0.05）。 结论：临床观察表 明清利汤能有效改善尿路感染症状体征，降低尿 WBC、RBC，并有显著的抑菌作用， 无毒副作用。 关键词 急性尿路感染；清利汤；清热解毒，利湿通淋；清洁中段尿细菌培养 The clinical research of Qing Li Tang in the treatment of acute urinary infection Specialty: The study of Kidney Diseases. Internal Medicine of TCM Author: Li Jing Tutor: Professor Guo Zhaoan Abstract Objective:Through the long-term clinical practice, the evaluation of acute Qing Li Tang of urinary tract infection (UTI) treatment efficacy and safety, and discuss the mechanism for the clinical treatment of urinary tract infection provide effective method. Method: According to established standards urinary tract infections selected 60 cases were randomly divided into the treatment group and control group, 30 cases each, the treatment group with Qing Li Tang (water frying clothing, day one agent, morning and evening each); The control group to Yin Hua Mi Yan Ling four pieces (4 pills every time, 3 times a day). Both groups make 7 days for one period of treatment. Positioning diagnosis with β2 - micro globulin ( β2 - MG). Lower urinary tract infections observed on a course, urinary tract infection observation 2-3 treatment. The two groups were observed before and after treatment midway through the urine and clean urine germiculture and