猪苓汤治疗导尿管相关性尿路感染临床观察

Clinical Observation of Effect of Zhuling Tang in Treating Catherter associated urinary tract infection

目的:观察猪苓汤治疗导尿管相关性尿路感染(CAUTI)的临床疗效。方法:将住本院重症监护科发生CAUTI的患者60例,按随机方法分为2组,对照组采用常规抗感染、专科护理,治疗组在对照组同样治疗方案的基础上加用中药汤剂猪苓汤加减治疗,观察2组临床疗效及治疗后体温、血白细胞计数、超敏C-反应蛋白、尿液镜检白细胞等恢复至正常所用的时间。结果:临床疗效总有效率治疗组90.0%,对照组83.3%,2组比较,差异无统计学意义(P>0.05);治疗组体温、血白细胞计数、超敏C-反应蛋白、尿液镜检白细胞恢复至正常的时间均短于对照组,差异均有统计学意义(P<0.05)。结论:猪苓汤在治疗导尿管相关性尿路感染中有确切临床疗效。

Objective：To observe the clinical effect of Zhuling tang in treating catheter associated urinary tract infection（CAUTI）. Methods：Divided 60 cases of patients with CAUTI in intensive care unit of our hospital into two groups randomly.The control group was given routine treatment for anti-infection and specialized nursing,while the treatment group was given Zhuling tang based on the treatment of the control group. Observed clinical effect, and the recovery time of body temperature,white blood cell count,high sensitive C-reactive protein,and the time of white blood cells return to normal by microscope test. Results： The total effective rate was 90.0% and 83.3% in the treatment group and the control group respectively,the difference being not significant（P0.05）. Recovery time of body temperature,white blood cell count,high sensitive C-reactive protein,and the time of white blood cells return to normal by microscope test in the treatment group were shorter than those of the control group,differences being significant（P0.05）. Conclusion：Zhuling tang has certain efficacy in treating CAUTI.