针灸联合加味八正散治疗尿路感染患者急性尿潴留的疗效研究

发布时间：2018-11-12 12:35

【摘要】：目的分析针灸联合加味八正散治疗尿路感染并发急性尿潴留临床疗效。方法选择2012年2月-2015年3月于医院治疗的89例尿路感染并发急性尿潴留患者为研究对象,随机分为对照组44例和观察组45例,对照组常规西医治疗,观察组在对照组基础上加用针灸联合加味八正散治疗,均治疗两周,观察两组患者的临床疗效,治疗前后临床症状评分和尿液相关指标的变化并比较。结果对照组治疗后小便频数、排尿灼急、小便涩痛、乏力、腰酸痛、小腹坠胀评分均低于治疗前(P0.05),观察组治疗后排尿灼急、小便涩痛、乏力、腰酸痛、小腹坠胀评分显著优于对照组(P0.05);两组患者治疗后,对照组治愈率36.36%、总有效率79.55%,观察组治愈率48.89%、总有效率93.33%,观察组治愈率和总有效率显著高于对照组(P0.05);观察组治疗后尿沉渣白细胞数、中段尿培养细胞数分别为(20.13±6.80)个/HP、(1011.20±31.60)cfu/mL显著优于对照组(46.40±10.20)个/HP、(1321.30±45.60)cfu/mL(P0.05)。结论针灸联合加味八正散可有效改善尿路感染并发急性尿潴留患者的临床症状,提高临床疗效。
[Abstract]:Objective to analyze the clinical effect of acupuncture and moxibustion combined with Jiawei Bazheng Powder in the treatment of urinary tract infection complicated with acute urinary retention. Methods from February 2012 to March 2015, 89 patients with urinary tract infection complicated with acute urinary retention were randomly divided into control group (n = 44) and observation group (n = 45). The observation group was treated with acupuncture and moxibustion plus Jiawei Bazheng Powder for two weeks on the basis of the control group. The clinical curative effect, clinical symptom score and urine related index before and after treatment were observed and compared between the two groups. Results the frequency of urination, urination irritation, urination acerbity, fatigue, lumbar soreness, lower abdominal distension score were lower in the control group than before treatment (P0.05), while in the observation group, urination urgency, urination acerbity, fatigue, lumbar soreness after treatment were lower than those before treatment (P0.05). The score of abdominal distension was significantly better than that of the control group (P0.05). After treatment, the cure rate of the control group was 36.36 and the total effective rate was 79.55. The cure rate of the observation group was 48.89 and the total effective rate was 93.33. The cure rate and the total effective rate in the observation group were significantly higher than those in the control group (P0.05). The number of leukocytes in urine sediment and the number of cultured cells in urine in the observation group after treatment were (20.13 卤6.80) / HP, (1011.20 卤31.60) cfu/mL, respectively, which were significantly higher than those in the control group (46.40 卤10.20) / HP,. (1321.30 卤45.60) cfu/mL (P0.05). Conclusion Acupuncture and moxibustion combined with Jiawei Bazheng Powder can effectively improve the clinical symptoms and clinical efficacy of patients with acute urinary retention complicated with urinary tract infection.
【作者单位】：遵义医学院附属医院针灸科;湄潭县人民医院内科;遵义医学院附属医院感染科;
【分类号】：R277.5

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