清热通淋汤经验方联合饮食疗法辨证治疗糖尿病合并泌尿系感染的临床研究  

The Clinical Research of Heat Flux Pouring Soup and Diet Therapy in Diabetic Diagnosis and Treatment of Urinary Tract Infection

作　　者：施贝德[1] 唐婷婷[2] 

机构地区：[1]杭州市下城区中医院康复科,浙江杭州310004 [2]杭州市第二人民医院血液科,浙江杭州310015

出　　处：《中华中医药学刊》2015年第7期1784-1786,共3页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:探讨清热通淋汤经验方联合饮食疗法辨证治疗糖尿病合并泌尿系感染的临床疗效。方法:选取2012年2月—2014年2月收治的90例2型糖尿病合并泌尿系统感染的患者,采用随机数字表法分为中医组和西医组,每组45例,西医组采用常规抗感染及降血糖治疗,中医组在西医组基础上加用中医方剂清热通淋经验方同时进行饮食疗法,比较两组患者治疗4周(2周为1个疗程)后的临床疗效及临床指标差异。结果:治疗前中医组和西医组患者的血常规、尿常规及血糖指标差异均不显著(P>0.05),中医组治疗后的尿红细胞(1.9±0.8)个/μL、白细胞(24.3±9.8)个/μL均显著低于西医组的(3.1±1.2)个/μL、(37.8±11.6)个/μL(P<0.05)。治疗前中医组和西医组分别有9例和8例患者尿培养呈阳性,治疗后中医组的转阴率为88.89%高于西医组的62.50%但差异不显著(P>0.05)。治疗前中医组和西医组的中医证候积分差异不显著(P>0.05),治疗后中医组的中医证候积分为(5.32±1.76)分显著低于对照组的(11.84±2.35)分(P<0.05)。中医组治疗后的临床疗效分布显著的优于对照组(P<0.05),中医组的总有效率88.89%显著高于西医组的71.11%(P<0.05)。结论:在西医常规基础疗法上采用中医清热通淋经验方联合饮食疗法治疗2型糖尿病合并泌尿系统感染能够有效的缓解患者的中医证候、更加显著的提高临床疗效。Objective：To discuss the clinical efficacy of heat flux pouring soup and diet therapy in diabetic diagnosis and treatment of urinary tract infection. Methods ：90 cases of patients with type 2 diabetes mellitus and urinary tract infec- tion from February 2012 to February 2014 in our hospital were divided into the Chinese medicine group and the western medicine group by using the random number table method,45 cases in each group. The western medicine group was trea- ted by routine anti - infection and lowering blood sugar and the Chinese medicine group with heat flux prescriptions of tra- ditional Chinese medicine and diet therapy on the basis of the western medicine group, to compare two groups patients clinical curative effect and clinical indicators 4 weeks （2 weeks for a period of treatment） after treatment. Results：The Chinese medicine and western medicine group patients blood routine, routine urine and blood sugar index had no signifi- cant difference before treatment （P 〉 0.05 ）. The Chinese medicine group after treatment urinary RBC （ 1.9 ± 0.8 ） a/ μL, white blood cells （24.3 ± 9.8 ）a/μL were significantly lower than that of western medicine group （3.1 ±1.2 ）a/μL, （37.8 ± 11.6）a/μL （P 〈 0.05）. The Chinese medicine and western medicine group had 9 cases and 8 cases with posi- tive urine culture before treatment. The Chinese medicine group after treatment overcast rate was （88.89%） higher than that of the western medicine group （62.50%） ,but it had no significant difference （P 〉 0.05）. The Chinese medicine and western medicine groupg TCM syndrome integral difference was not significant before treatment （ P 〉 0.05 ）. The treatment group＇s syndromes of TCM was （5.32 ± 1.76） points and lower than the control group （ 11.84 ± 2.35 ） points （ P 〈 0.05 ）. Distribution in Chinese medicine group after treatment of traditional Chinese medicine was significantly better than that of the control group （ P 〈 0.05）. The total effectiv

关 键 词：中医清热通淋经验方 饮食疗法 2型糖尿病 泌尿系统感染 

分 类 号：R587.1[医药卫生—内分泌]