尿感宁颗粒联合头孢他啶治疗尿路感染临床研究
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R691.3

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Clinical Study on Niaoganning Granules Combined with Ceftazidime for Urinary Tract Infection
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    目的:观察尿感宁颗粒联合头孢他啶治疗尿路感染的临床疗效及对尿肝素结合蛋白(U-HBP) 的影响。方法:将98 例尿路感染患者按随机数字表法分为治疗组与对照组各49 例。对照组采取静脉滴注头孢他啶治疗,治疗组在对照组基础上给予尿感宁颗粒治疗。比较2 组治疗前后血清各炎性因子、U-HBP、尿白细胞计数(U-WBC) 水平,并比较2 组治疗后各症状消失时间、临床疗效与不良反应发生情况。结果:治疗组治疗总有效率95.92%,高于对照组79.59%(P<0.05)。与同组治疗前比较,治疗后2 组U-HBP、U-WBC 及血清白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)、降钙素原(PCT) 水平均降低(P<0.05);与对照组治疗后比较,治疗组治疗后U-HBP、U-WBC 及血清IL-6、IL-8、TNF-α、PCT 水平均较低(P<0.05)。治疗组治疗后尿频、尿急、尿痛、发热消失时间均短于对照组(P<0.05)。2 组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:联合应用尿感宁颗粒与头孢他啶治疗尿路感染能够获得较好的临床疗效,不但可改善临床症状,缓解尿道不适,而且能降低炎性因子,且不增加不良反应。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Niaoganning granules combined with ceftazidime for urinary tract infection and its effect on urinary heparin binding protein(U-HBP). Methods:A total of 98 cases of patients with urinary tract infection were divided into the treatment group and the control group according to the random number table method,with 49 cases in each group. The control group was treated with intravenous infusion of ceftazidime,and the treatment group was additionally treated with Niaoganning granules based on the treatment of the control group. The levels of serum inflammatory factors,U-HBP and urine white blood cell count(U-WBC) before and after treatment in the two groups were compared;the disappearance time of symptoms, the clinical effects and the incidences of adverse reactions after treatment in the two groups were compared. Results:The total effective rate was 95.92% in the treatment group,higher than that of 79.59% in the control group(P<0.05). After treatment,U- HBP,U- WBC and the levels of interleukin- 6(IL- 6),interleukin- 8(IL- 8), tumor necrosis factor- α(TNF- α) and procalcitonin(PCT) in serum in the two groups were decreased when compared with those before treatment(P<0.05);U-HBP,U-WBC and the levels of IL-6,IL-8,TNF-α and PCT in serum in the treatment group were lower than those in the control group(P<0.05). After treatment,the disappearance time of frequent urination, urgent urination,urodynia and fever in the treatment group was shorter than that in the control group(P<0.05). There was no significant difference being found in the comparison of the incidences of adverse reactions between the two groups(P>0.05). Conclusion:The application of Niaoganning granules combined with ceftazidime has a good clinical effect in treating urinary tract infection, which can not only improve the clinical symptoms and relieve discomfort in urethra, but also reduce inflammatory factors without increasing the adverse reactions.

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李结实,邬小娟.尿感宁颗粒联合头孢他啶治疗尿路感染临床研究[J].新中医,2022,54(5):117-120

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  • 在线发布日期: 2022-03-10
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