育龄期女性急性肾盂肾炎的临床特点和治疗分析

Analysis on clinical characteristics and treatment of acute pyelonephritis in women of childbearing age

目的:观察育龄期女性急性肾盂肾炎的诱因、尿培养病原学分布以及治疗转归等临床特点,比较单用抗生素或抗生素联合中药治疗的疗效。方法:观察72例育龄期女性急性肾盂肾炎患者,其中首发组53例,复发组19例。所有患者均予以抗生素治疗,部分患者同时联用中成药三金片;观察治疗前后临床和实验室指标。结果:部分患者可明确发病诱因,首发和复发患者细菌学分布均以大肠埃希菌为主,合理选择抗生素可获得高有效率,联合三金片治疗能改善尿道局部症状。结论:临床医生在诊治育龄期女性急性肾盂肾炎时应该重视健康教育,合理选择诊疗方案。

Objective： To observe the clinical characteristics （incentives, etiological distribution of urine culture, outcome） of acute pyelonephritis in women of childbearing age, compare the curative effect of simple antibiotics and antibiotics combined with traditional Chinese medicine. Methods： Seventy -two female patients with acute pyelonephritis were observed and divided into the first onset group （53 patients） and recurrence group （ 19 patients） ; all the patients were treated with antibiotics, and partial patients were treated with antibiotics combined with Sanjin tablets; the clinical and laboratory parameters before and ＇after treatment were observed. Results： Incentives of partial patients were definite, Escherichia coli was the major bacterium in the first onset group and recurrence group ; choosing antibiotics reasonably could obtain high effective rate; antibiotics combined with Sanjin tablets could improve local urethral symptoms. Conclusion： Clinicians should pay more attention to health education during diagnosis and treatment of acute pyelonephritis in women of childbearing age, and the diagnostic and therapeutic scheme should be selected reasonably.