理气通淋汤治疗肝郁气滞湿热型尿路感染的临床研究

发布时间：2018-01-02 10:02

本文关键词：理气通淋汤治疗肝郁气滞湿热型尿路感染的临床研究　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：研究目的:本研究通过设立对照组观察理气通淋汤治疗肝郁气滞湿热型尿路感染的临床疗效,评价理气通淋汤的临床有效性和安全性,为临床治疗肝郁气滞湿热型尿路感染提供新思路。研究方法:把符合纳入标准的60名患者,随机分为试验组30例,对照组30例。对照组予以敏感抗生素及中成药治疗,试验组在对照组治疗基础上予以理气通淋汤中药煎剂。两组均治疗2周。观察尿常规试验、尿细菌学检查以及中医症状和证候积分的变化。研究结果:(1)综合疗效:对照组总有效率76.7%,试验组总有效率96.6%,两组之间有明显统计学差异(P0.01),表明试验组优于对照组。(2)理化指标:试验组治疗2周后与对照组比较,尿白细胞、尿培养菌落计数均有显著差异(P0.05),且两组与治疗前比较,有显著性或非常显著性差异(P0.05或P0.01)。(3)中医证候疗效:治疗后小便频数、淋漓刺痛、腰酸痛等症状明显缓解,中医证候积分及中医证候疗效方面试验组均优于对照组(P0.05)。结论:理气通淋汤治疗肝郁气滞湿热型尿路感染能明显改善尿频、尿急、尿痛等临床症状,降低尿白细胞和细菌的数量,提高机体粘膜的免疫能力,且无明显副作用,表明理气通淋汤治疗尿路感染值得推广应用。
[Abstract]:Objective: To study the clinical curative effect of this study through the establishment of the control group to observe the Qi Tonglin Decoction in the treatment of liver qi stagnation, damp heat type of urinary tract infection, clinical efficacy and safety evaluation of Qi Tonglin Decoction, provide new ideas for clinical treatment of liver qi stagnation, damp heat type of urinary tract infection. Methods: to meet the inclusion criteria of 60 patients, 30 cases randomly divided into experimental group, 30 cases in the control group. The control group was given antibiotics and traditional Chinese medicine, experimental group in the control group were treated on the basis of Qi Tonglin Decoction of Chinese medicine decoction. Two groups were treated for 2 weeks. To observe the changes of urine routine urine test, bacteriological examination and TCM symptoms and syndromes. Results: (1) the comprehensive curative effect: the total efficiency of the control group 76.7%, the total efficiency of experimental group was 96.6%, there was a significant difference between the two groups (P0.01), showed that the experimental group than the control group. (2) physicochemical indexes: the experimental group after 2 weeks of treatment and Compared to the control group, white blood cell, significantly colonycounts urine culture (P0.05), and the two groups compared with before treatment, there was significant or very significant difference (P0.05 or P0.01). (3) the efficacy of TCM syndrome after treatment, frequent urination, sweating pain, lumbar pain and other symptoms relieved. TCM syndrome score and TCM syndrome curative effect of experimental group was better than the control group (P0.05). Conclusion: Qi Tonglin Decoction treating qi stagnation of damp heat syndrome of urinary tract infection can significantly improve urinary frequency, urgency, dysuria and other clinical symptoms, reduce the number of white blood cells and bacteria, improve the mucosal immunity ability, and no the obvious side effect that Qi Tonglin Decoction in treatment of urinary tract infections and is worthy of popularization and application.

【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.5

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