中西医结合治疗下尿路感染临床治疗方案的规范化研究及疗效分析  

Standardized Research and Analysis about Integrated Traditional and Western Treatment Programs of Lower Urinary Infection

作　　者：王慎鸿[1] 高云球[1] 谭洪鳌[1] 刘树硕[1] 

机构地区：[1]浙江中医药大学附属第一医院(下沙院区),杭州310009

出　　处：《浙江中医药大学学报》2013年第10期1197-1200,共4页Journal of Zhejiang Chinese Medical University

基　　金：浙江省卫生厅中医药管理局(2008GA006)~~

摘　　要：[目的]规范中西医结合治疗下尿路感染临床方案,客观评价其有效性和安全性。[方法]根据中医辨证分型,选取热淋型、血淋型、气淋型、膏淋型和劳淋型下尿路感染患者各60例,共300例。每型患者随机分为试验组和对照组,对照组按西医治疗规范进行相应的抗感染治疗,试验组在对照组基础上根据其中医的辨证分型再加服中药。通过疗效、费效比、安全性分析评估各型两组间差异。[结果]热淋型试验组与对照组疗效比较,差异无统计学意义(P>0.05);血淋型、膏淋型、劳淋型、气淋型疗效试验组优于对照组(P<0.05);各类型的试验组和对照组费效比,差异无统计学意义(P>0.05);各组均未出现影响治疗的安全性事件。[结论]筛选出下尿路感染患者中血淋型、膏淋型、劳淋型、气淋型患者,采用中西医结合治疗,可以提高疗效。[Objective] To standardize integrated traditional and western treatment programs of lower urinary infection and evaluate its effect and to insure the safety. [Methods] TCM syndrome type of lower urinary tract infection is divided into Xuelin type, gaolin type, laolin type, qilin type, relin type. Each type col ects separately 60 patients. Every 60 patients are randomly divided into experimental and control groups.The way to treat the patients for the con-trol group must be in accordance with the norms of western medicine treatment of anti-infection. By contrast, the way that the patients from the experi-mental group should be based on the western medicine treatment, simultaneously what is to be emphasized is that the treatment must also be according to Chinese medicine syndrome type plus Chinese herb. The three elements efficacy, cost-effectiveness and security analysis are used to evaluate the differences between the two groups. [Results]The experimental group of relin type and qilin type has no statistical y significant difference in the efficacy of the control group.The efficacy of experimental group of xuelin type, gaolin type and laolin type is better than the control group,and cost-effectiveness ratio has no significant difference.There is no serious adverse reaction. [Conclusion] Screening of lower urinary tract infection patients with blood type, cream drench type, combination of traditional Chinese and western medicine treatment, can improve the curative effect.

关 键 词：下尿路感染 中西医结合 中医分型 规范化研究 

分 类 号：R695[医药卫生—泌尿科学]