寒热错杂型复发性泌尿系感染的证候分布初探  

Preliminary exploration on syndrome distribution of recurrent urinary tract infection with the syndrome of intermingled heat and cold

作　　者：董园莉[1] 王少杰[2] 赵红霞[3] 李玫[4] 段振静 周玥琲 

机构地区：[1]北京中医药大学第一临床医学院,博士研究生100700 [2]北京大学人民医院中医科 [3]北京市门头沟区医院中医科 [4]北京大学人民医院临床分子生物学研究所

出　　处：《环球中医药》2014年第4期271-274,共4页Global Traditional Chinese Medicine

摘　　要：目的探讨寒热错杂型复发性泌尿系感染的证候分布特点,以提高临床疗效。方法选取中医辨证为寒热错杂证的复发性泌尿系感染患者240例,其中,糖尿病患者和非糖尿病患者各120例。根据不同伴发疾病、不同病程、病情轻重分层进行证候分布比率的χ2检验。同时,对中医证候采用积分法进行t检验。结果伴发糖尿病组、病程1年以上组和病情轻组的中医证候分布以乏力等阴亏症状为主(P<0.05或P<0.01),不伴发糖尿病组、病程1年以下组及主症4分以上组的中医证候积分较高(P<0.01)。结论以不同伴发疾病、病程、病情分层研究寒热错杂型复发性泌尿系感染,有助于客观指导临床针对性用药,提高临床疗效。Objective To explore the influential factors of syndrome distribution of recurrent uri-nary tract infection（ rUTI） with the syndrome of intermingled heat and cold in order to enhance the clinical efficacy. Methods By adopting the stratified method based on accompanying disease as well as disease course and degree of disease, the rates and degrees of syndrome distribution were analysised by chi square＆nbsp;test and t-test on 240 cases of rUTI with the intermingled heat and cold syndrome. Results The rates and degrees of syndrome distribution varied from comorbidities, disease course and severity of diseases （ P〈0. 05 or P〈0. 01 ） . Conclusion To provide scientific guidance on strict selection of specific herbs and enhance the clinical efficacy, rUTI with the syndrome of intermingled heat and cold was studied by adopting the stratified method based on accompanying disease as well as disease course and degree of disease.

关 键 词：复发性泌尿系感染 证候分布 寒热错杂 

分 类 号：R277.5[医药卫生—中医学]