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1、提要目的：观察补脾益肾清利法对慢性尿路感染（劳淋）治疗的有效性及安全性，为临床治疗提供行之有效的方法。方法：本研究收集慢性尿路感染患者60例，按就诊、住院顺序随机分为2组，试验组、对照组各30例。对照组予癃清片（一次8片，一日3次）治疗，试验组予自拟止淋汤（水煎服，日一剂，分早晚两次餐后温服）治疗。疗程半月。观察尿常规、清洁中段尿细菌培养以及临床症状、体征的变化，并对症状及体征进行量化评分，比较其疗效差异。结果：脾肾亏虚兼湿热证中医量化评分：试验组痊愈率6.67%、显效率53.33%、有效率33.33%，
2、总有效率93.33%。试验组用药后积分与用药前积分相比具有显著的统计学意义（p＜0.01）。与对照组相比，试验组降低尿白细胞和细菌效果明显。结论：自拟止淋汤治疗慢性尿路感染（劳淋）脾肾亏虚兼湿热型，能显著改善患者小便淋沥不已，时作时止，遇劳即发，腰膝酸软，神疲乏力等脾肾亏虚型临床表现，从而显示出自拟止淋汤治疗本病的优势。关键词自拟止淋汤；慢性尿路感染；劳淋；脾肾亏虚兼湿热型ClinicalstudiesofthespleenandkidneyKiyotoshitreatmentofworkerspoure
3、dSpeciality:KidneyDisease,NephropathyMedicineofTCMAuher:LiuJuanTutor:Prof.ZhangFaRongAbstractObjective:Theobservationofspleenandkidney,clearingmethodforchronicurinarytractinfection(laborleaching)theefficacyandsafetyoftreatment,andeffectivemethodforclinica
4、ltreatment.Methods:Thisstudy60patientswithchronicurinarytractinfection,accordingtotheorderoftreatment,hospitalization,wererandomlydividedintotwogroups,experimentalgroup,30casesofthecontrolgroup.Controlgrouptotheinfirmityclearfilm(one8,threetimesaday)treat
5、ment,theexperimentalgrouptothetreatmentintendedonlycreamsoup(Shuijianbidayone,morningandeveningafterameal,warmclothes).Courseofahalfmonths.Observetheurine,cleaningurinebacterialcultureandclinicalsymptoms,changesinthesignsandsymptomsandsignsofthequantitati
6、vescore,comparethedifferencesinefficacy.Results:DuetodeficiencyofspleenintraditionalChinesemedicine:theexperimentalgroupsignificantlytheefficiencyscoreof52%,withanefficiencyof36%,thetotaleffectiveratewas88%;thecontrolgrouptheoriginalspleenandkidneydeficie
7、ncysymptomsremainedunchangedorslightlyreduced.Theexperimentalgroupafteradministrationofintegralintegralcomparedbeforeandaftertreatmentwithsignificantstatisticalsignificance(P<0.01).Treatmentcomparedwiththegroup,theexperimentalgroupdecreasedwhitebloodcell,
8、redbloodcellsandbacteriaeffectisobvious.Conclusion:Intendedtostopthecreamsoupthetreatmentofchronicurinarytractinfections(Labourshower),spleendeficiencyanddamp-heat,canbesignificantlyimprovedinpatientswithurinepoured
