真菌性尿路感染的中医分期辨证治疗与预防

Preventive Measures and Stepwise Treatment of Fungal Urinary Tract Infection Based on TCM Syndrome Differentiation

目的探讨真菌性尿路感染的临床特点、发病机制及中医辨证治疗方法。方法根据真菌性尿路感染易发因素及临床特点,阐明该病的机制,在治疗上应重视调理整体功能状况,在急性感染期以驱邪为主,扶正为辅,在恢复期以扶正为主,兼清余邪为辅。结果真菌性尿路感染最常见的病原菌是白色假丝酵母菌,采用中药分期辨证治疗,并重视调理整体功能状况,具有疗效高、作用全面、不良反应少的特点。结论中医药分期辨证治疗真菌性尿路感染具有较大的潜力和优势,值得进一步探讨。

OBJECTIVE To discuss the clinical traits, pathogenesis and TCM stepwise treatments of fungal urinary tract infection. METHODS According to the risk factors and clinical character of fungal urinary tract infection,we clarified the mechanism of the disease. The principal aspect was spleen-kidney vacuity detriment and the secondary incidental was accumulated damp-heat and static blood in the lower burner, viz weaken healthy qi and excessive pathogenic factor. Hence during the clinical treatment we should regulate faculty condition. In the acute infection period we should give priority to dispel evils supplemented by the recovery of right qi. In the convalescence we should pay more attention to support right supplemented by dispelling. RESULTS The most common pathogen of fungal urinary tract infection was Candida albicans. The TCM stepwise treatments of fungal urinary tract infection together with regulatiy entire faculty condition had the characteristics of high efficacy and few side effects. CONCLUSIONS The TCM stepwise treatments of fungal urinary tract infection has more potentiality whieh deserves further study.