不同年龄段女性复发性尿路感染的临床分析

Clinical analysis of recurrent urinary tract infection of female patients in different ages

目的:观察不同年龄段女性复发性尿路感染的临床特点,评价单用抗生素或联合中药治疗的疗效。方法:观察女性复发性尿路感染患者156例,其中育龄期组90例,更年期和老年期组66例。所有患者予以抗生素治疗,部分患者同时联用清热利湿复方中药治疗。观察治疗前后临床症状、体征和实验室检查结果,药物治疗结束后观察随访半年。结果:更年期和老年期女性较育龄期女性复发性尿路感染症状不典型,随访期复发率高。联合中药治疗能显著减少复发率,改善症状。结论:临床医生在诊治女性复发性尿路感染时应该考虑不同年龄段的临床特点,合理选择诊疗方案。

Objective： To observe the clinical characteristics of recurrent urinary tract infection of female patients in different ages stages and to evaluate curative effect on using antibiotics only and on combination of antibiotics and Chinese herbal drugs. Methods： A total of 156 female patients with recurrent urinary tract infection were observed, including 90 cases in reproductive age and 66 cases during cli- macteric and gerontism period. All patients accepted antibiotics therapy and part of them combined with Chinese herbal drugs therapy which had the effects on clearing away heat evil and promoting diuresis. Clinical symptoms, sighs, and laboratory examination results were recor- ded pre - therapy and post - therapy. A half year following up was done after pharmacotherapy conclusion. Results ： Female patients with re- current urinary tract infection during climacteric and gerontism period had less typical symptoms and higher recurrence rate than the patients in reproductive age. Antibiotics combined with Chinese herbal drugs therapy could decrease recurrence rate and ameliorate clinical symptom. Conclusion： The clinician should think about clinical characteristics of different ages and select reasonable projects when treating female patients with recurrent urinary tract infection.