围绝经期复发性尿路感染危险因素的病例对照研究

发布时间：2018-01-17 01:00

本文关键词：围绝经期复发性尿路感染危险因素的病例对照研究　出处：《北京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的通过探讨围绝经期女性认知因素、心理因素、治疗概况与生活习惯因素中可能相关的危险因素与围绝经期发生复发性尿路感染的关系,以及通过采集围绝经期女性的中医四诊信息,初探围绝经期复发性尿路感染的中医证候特点,以期全面认识围绝经期复发性尿路感染患者在认知、心理状况、治疗概况、生活习惯和中医证候特点等方面中与疾病发生相关的危险因素,为临床工作中指导围绝经期复发性尿路感染的预防及提出健康宣教方案提供可靠的依据,通过纠正围绝经期女性对疾病的发生及治疗中出现的认识、行为误区和不良生活习惯,降低疾病发生的感染率与复发率,从而提高围绝经期女性的生活质量;同时通过初步探讨围绝经期女性复发性尿路感染的中医证候特点,为围绝经期复发性尿路感染疾病的中医药防治方案垫定理论基础。研究方法本研究为非配对病例对照研究,采用便利抽样的方法,收集2016年4月1日至2017年1月30日就诊于北京中医药大学第三附属医院门诊及体检中心、北京市朝阳区小关社区、北京市东风社区卫生服务中心已确诊或既往确诊过为复发性尿路感染且符合纳入标准的围绝经期女性30例,作为病例组(rUTI组),同期在以上医院或社区就诊的非复发性尿路感染的围绝经期女性30例,作为对照组(非rUTI组);通过调查问卷表收集围绝经期女性对复发性尿路感染疾病的认知、心理、治疗概况资料、生活习惯资料以及中医四诊资料。统一使用SPSS21.0软件对认知、心理、治疗概况资料、生活习惯资料进行统计描述、单因素及多因素非条件Logistic回归分析,对中医四诊资料进行频次描述和系统聚类分析。研究结果通过对认知、心理、治疗概况资料、生活习惯资料进行统计描述、单因素分析及多因素非条件logistic回归分析,本研究最终得出"拖延不就医"、"久坐不动"与"憋尿行为"这三个变量与围绝经期复发性尿路感染的发生存在正相关,且OR1,表明有拖延不就医行为、有久坐不动行为和有憋尿行为均能增加围绝经期复发性尿路感染发生的风险。通过对中医四诊资料进行频次描述和系统聚类分析,最终得出的结果为:两组围绝经期女性的中医证候均以虚实夹杂证多见,肝肾亏虚为根本;但对照组邪实证的存在相对病例组较少,病例组以痰湿、湿热、血瘀、肝阳上亢、气郁等多种邪实证的存在较多。研究结论围绝经期女性存在复发性尿路感染的危险因素,拖延不就医、久坐不动、有憋尿行为均为围绝经期复发性尿路感染的危险因素。提倡及时就医,经常运动、避免久坐,提倡及时排小便,养成良好的生活习惯,可以降低围绝经期复发性尿路感染的风险。在中医证候特点认识上,围绝经期女性均有肝肾正气虚损的表现,但对比非复发性尿路感染的围绝经期女性表现为较单纯的正气亏损的证候特点而言,围绝经期复发性尿路感染女性则在肝肾亏虚的证候基础上,多兼夹痰湿、湿热、血瘀、阳亢、气郁等多种邪实证,因此我们认为,多种邪实证的存在是围绝经期复发性尿路感染的危险因素,在中医防治上,除补益肝肾,培元固本的同时,兼顾祛邪可降低围绝经期复发性尿路感染的风险。
[Abstract]:Objective to explore perimenopausal women's cognitive factors, psychological factors, and risk factors of perimenopausal relationship between the occurrence of recurrent urinary tract infections may treat situation and lifestyle factors, and through the acquisition of perimenopausal women in the information of four diagnostic methods of TCM syndrome characteristics of perimenopausal recurrent urinary tract infection, in order to a comprehensive understanding of perimenopausal recurrent urinary tract infection in patients with cognitive, psychological status, treatment of the risk factors associated with disease living habits and characteristics of TCM syndrome and so on, for clinical work to guide the prevention of perimenopausal recurrent urinary tract infection and the health education programs and provide a reliable basis, through the understanding of appearance the occurrence and treatment of perimenopausal women to correct diseases, misunderstandings and bad habits, reduce the rate of infection and recurrence of disease incidence, from To improve perimenopausal women's quality of life; at the same time, by discussing the characteristics of TCM Syndromes of perimenopausal women with recurrent urinary tract infection, the theoretical foundation for TCM Prevention and treatment of perimenopausal recurrent urinary tract infection pad. The research methods for non paired case control study, by convenient sampling. From April 1, 2016 to January 30, 2017 in the Third Affiliated Hospital of Beijing University of Chinese Medicine and Beijing City outpatient medical center, Chaoyang District Xiaoguan community, Dongfeng community health service center in Beijing city had been diagnosed or previous diagnosed for recurrent urinary tract infection and met the inclusion criteria of perimenopausal women in 30 cases, as the case group (rUTI group), over the same period in the hospital or the community treatment of non recurrent urinary tract infection in perimenopausal women in 30 cases, as the control group (non rUTI group); through the questionnaire to collect the perimenopausal Menstruating women on disease of recurrent urinary tract infection in cognition, psychological treatment, profile, lifestyle and TCM diagnostic data. Using SPSS21.0 software for unified cognition, psychological treatment, survey data, statistical description of life habits, non conditional Logistic regression analysis of single factor and multi factor analysis, frequency description and system clustering the diagnostic information of traditional Chinese medicine. The results of study on cognitive, psychological treatment, survey data, statistical description of life habits, non conditional logistic regression analysis of single factor and multi factors analysis, this study concluded that procrastination is not a doctor, "the three variables of sedentary" and "bieniao behavior" and perimenopausal recurrent urinary tract infection were positively correlated, and OR1, showed that delays the medical behavior, sedentary behavior and bieniao behavior can increase perimenopausal recurrent urinary tract infection The risk through frequency description and clustering of TCM data analysis, the final results for the two groups of TCM Syndromes of perimenopausal women were mixed with the actual situation of certificate, liver and kidney deficiency as the fundamental; but the control group evilempirical there are relatively less cases, cases with phlegm dampness, damp heat, blood stasis, hyperactivity of liver Yang, there are many Qi and other evil. Empirical research conclusions of perimenopausal women are risk factors of recurrent urinary tract infection, delayed treatment, sedentary behavior has bieniao were risk factors of perimenopausal recurrent urinary tract infection. To promote timely medical treatment, often exercise, avoid sedentary, advocate timely urination, develop good habits, can reduce the risk of perimenopausal recurrent urinary tract infection. In the understanding of the characteristics of TCM syndrome, perimenopausal women have liver and kidney deficiency of vital qi's performance, but the contrast Perimenopausal women showed non recurrent urinary tract infection as the syndrome characteristics than the pure loss of righteousness, perimenopausal women of recurrent urinary tract infections in the liver and kidney deficiency syndrome on the basis of many with phlegm dampness, damp heat, blood stasis, hyperactivity of Yang, Qi and other evilempirical, because of this we believe that the existence of a variety of evilempirical are risk factors of perimenopausal recurrent urinary tract infection, in traditional Chinese medicine on the prevention and treatment of the liver and kidney tonic, Peiyuan at the same time, taking into account Quxie may reduce the risk of perimenopausal recurrent urinary tract infection.

【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R691.3

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