滋肾通关丸加味治疗肾虚湿热型慢性泌尿系感染的临床效果  

Clinical effect of Modified Zishen Tongguan Pills in the treatment of chronic urinary tract infection with syndrome of kidney deficiency and dampness heat

作　　者：夏津滨 XIA Jinbin(Department of Endocrinology,Shunyi Hospital of Beijing Chinese Medicine Hospital,Beijing 101300,China)

机构地区：[1]北京中医医院顺义医院内分泌科

出　　处：《中国医药导报》2019年第21期69-72,76,共5页China Medical Herald

基　　金：北京中医医院-北京中医医院顺义医院科研合作基金项目(SYYJ-201714)

摘　　要：目的观察滋肾通关丸加味治疗肾虚湿热型慢性泌尿系感染的临床效果。方法选取2016年2月~2018年2月北京中医医院顺义医院肾病科门诊及住院的慢性泌尿系感染患者60例,采用随机数字表法将其分为对照组和治疗组,每组各30例。对照组给予敏感抗生素治疗,治疗组在对照组的基础上给予滋肾通关丸加味(肉桂6g、知母6g、黄柏6g、车前草15g)治疗。观察比较两组患者尿常规中白细胞计数(高倍镜)、菌落计数、临床疗效及中医证候疗效。结果治疗后,两组尿常规中白细胞计数、菌落计数均较治疗前降低(P<0.05),且治疗组明显低于对照组(P<0.05)。临床疗效结果显示,治疗组总有效率明显高于对照组(P<0.05)。中医证候疗效结果显示,治疗组中医证候总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论滋肾通关丸加味治疗慢性泌尿系感染具有较好的临床效果。Objective To observe the clinical effect of Modified Zishen Tongguan Pills in the treatment of chronic urinary tract infection with syndrome of kidney deficiency and dampness heat.Methods From February 2016 to February 2018,60 patients with chronic urinary tract infection admitted to Shunyi Hospital of Beijing Chinese Medicine Hospital were selected and divided into the control group and the treatment group by random number table method,with 30 cases in each group.The control group was treated with sensitive antibiotics,on basis of which,the treatment group was treated with the Modified Zishen Tongguan Pills(Cortex Cinnamomi 6 g,Rhizoma Anemarrhenae 6 g,Cortex Phellodendri 6 g,Herba Plantaginis 15 g).The count of white blood cells(high magnification),count of bacterial colonies in urine routine,clinical efficacy and traditional Chinese medicine symptom effects were observed and compared between the two groups.Results After treatment,the count of white blood cells and count of bacterial colonies in the urine routine of the two groups were lower than those before treatment(P<0.05),which of the treatment group were significantly lower than those of the control group(P<0.05).The result of clinical efficacy showed that the total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).The result of traditional Chinese medicine symptom effect showed that the total effective rate of traditional Chinese medicine symptom in the treatment group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Modified Zishen Tongguan Pills have good clinical effects in treating chronic urinary tract infection.

关 键 词：泌尿系感染 滋肾通关丸加味 肾虚湿热型 临床效果 

分 类 号：R277.5[医药卫生—中医学]