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find Keyword "尿路感染" 19 results
  • Shenling Granule for Lower Urinary Tract Infection (Damp-heat in Lower-JIAO): A Randomized Controlled Trial

    Objective To assess the effectiveness and safety of Shenling granule for lower urinary tract infection (damp-heat in lower-Jiao ) in comparison with Niaoganling Chongji. Methods A double-bhnd, double-dummy, randomized controlled trial was conducted. A total of 96 patients (damp-heat in lower-Jiao) were randomized to the treatment group (n =72, Shenling granule, 1 bag, rid) and the control group (n =24, Niaoganling Chongji, 1 bag, tid). The therapeutic course for both groups was 1 week. Results ITT (intention-to-treatment) analysis showed that the total effective rates of the treatment group and the controlled group were 92.43% and 91.31% , respectively (P 〉0.05). PP (perprotocol-population) analysis showed that they were 92.31% and 90.91% , respectively ( P 〉0.05 ). The effective rates on Chinese medicine symptom of the treatment group and the controlled group were 93.43% and 95, 65% respectively by ITT analysis ( P 〉0.05 ) , 95.38% and 94.45% respectively by PP analysis ( P 〉0.05 ), No significant difference between the two groups was detected. No adverse effect was found. Conclusions There is no significant difference between Shenling granule and Niaoganling Chongji in the treatment of patients with lower urinary tract infection. No adverse effect was found.

    Release date:2016-08-25 03:34 Export PDF Favorites Scan
  • PLASTIC RECONSTRUCTION OF MEATUS URINARIUS FOR FEMALE URETHRAL ORIFICE HYMENOSIS

    One-hundred and thirty cases of hymenosis of female urethral orifice with anomalies from May, 1985 through October, 1990 were studied. The patients all received plastic reconstruction of the urethral orifice, and have been followed up for 3 months to 6 years with a cure and improvement rate of 92.1 percent. This anomaly is one of the important causes causing infection of the lower urinary tract. The mechanism of the pathology and the principles of treatment were discussed.

    Release date:2016-09-01 11:38 Export PDF Favorites Scan
  • Prulifloxacin in the Treatment of Urinary Tract Infection: A Double-Blind, Randomized Controlled Trial

    Objective To assess the effectiveness and safety of prulifloxacin in the treatment of urinary tract infection. Methods The double-blind, double dummy and randomized controlled method was adopted. One hundred and forty-four patients were randomized to the treatment group (prulifloxacin , 4 tablets, bid) and the control group (levofloxacin, 4 tablets, bid). The randomization code was produced by computer. The treatment duration for both groups was from 7 to 10 days. Results Data were analyzed on the basis of full analysis sets (FAS) and per-protocol (PP) analysis. The total improvement rates of the trial and control groups were 85.07% and 88.52% respectively by FAS analysis, and 90.48% and 91.53% respectively by PP analysis. There was no significant difference between the two groups in improvement rates (Pgt;0.05). Bacterial negative rates in the trial and control groups were 93.75% and 93.88% respectively by FAS analysis and 97.83% and 97.87% respectively by PP analysis. The results showed no statistical significance difference between the two groups in bacterial negative rates (Pgt;0.05). The adverse events in the prulifloxacin and levofloxacin groups were 2.80% and 5.60% respectively. Conclusion Prulifloxacin has the same clinical effectiveness as levofloxacin with a few toxic adverse effects in the treatment of urinary tract infection.

    Release date:2016-09-07 02:18 Export PDF Favorites Scan
  • Evaluation of the Application of UF-1000i Automatic Urine Dreg Analyzer in Excluding Urinary Tract Infection

    目的 评价UF-1000i全自动尿沉渣分析仪中沉渣定量模块中白细胞和细菌参数阈值在排除尿路感染的应用价值。 方法 选取2 580份清洁中段尿液, 同时进行细菌培养菌落计数和UF-1000i尿沉渣白细胞和细菌定量分析,建立ROC曲线确定白细胞参数与细菌参数阈值。 结果 以尿定量培养菌落计数G?菌≥105 cfu/mL,G+菌≥104 cfu/mL为阳性参考标准,当白细胞沉渣定量为100/μL时,UF-1000i尿沉渣分析仪检测灵敏度为64%,特异度为75%,阴性预测值为96%;当UF-1000i细菌计量为901/μL时,检测灵敏度为68.3%,特异度为92.8%,阴性预测值为97%。 结论 UF-1000i检测新鲜尿标本白细胞的测定值lt;100/μL,细菌值lt;901/μL时能够作为临床早期排除尿路感染的依据之一。

    Release date:2016-09-07 02:37 Export PDF Favorites Scan
  • 间歇导尿技术控制脊髓损伤尿潴留患者尿路感染的疗效观察

    【摘要】 目的 总结间歇导尿技术控制脊髓损伤尿潴留患者尿路感染的临床疗效。 方法 2003年4月-2008年6月对80例脊髓损伤尿潴留患者随机设立对照组与治疗组进行研究。 结果 应用间歇导尿技术治疗组1、2、3、4周时尿路感染例数分别为1、2、3、3例,使用保留尿管对照组1、2、3、4周时尿路感染例数分别为5、8、12、14例,2周时治疗组尿路感染率较对照组低,有统计学意义(Plt;0.05)。 结论 间歇导尿技术可明显降低脊髓损伤尿潴留患者尿路感染率,减少患者对医务人员的依赖性,提高其生活独立性,有利于患者早日重返社会。

    Release date:2016-09-08 09:50 Export PDF Favorites Scan
  • Analysis of Causes in Elder Adult Patients with Urinary Tract Infection

    摘要:目的:了解老年住院患者发生尿路感染的病因,为临床治疗提供依据。方法:回顾性分析我院2007年1月至2007年12月发生尿路感染的老年住院患者临床资料,分别统计各种病因。结果:共收集52例临床资料,发生上尿路感染17例,下尿路感染35例。前列腺增生或前列腺炎6例,尿路结石7例,单纯尿路感染10例。结论:老年人由于器官衰老萎缩和免疫功能减退,抗病毒能力下降,尿路感染是老年人常见的疾病之一,应引起重视,注意根据尿细菌培养结果与尿药物敏感结果使用敏感抗生素,并注意保护肾功能。

    Release date:2016-09-08 10:02 Export PDF Favorites Scan
  • Clinical Application of Harnal in Prevention of Urinary Retention after Abdominal Operation

    目的探讨哈乐预防腹部手术后尿潴留的临床价值。方法哈乐组于拔尿管前1 d开始用哈乐0.2 mg,1次/d,3~5 d; 对照组未予特殊药物治疗。比较2组的尿潴留发生率、尿路感染发生率、住院时间和副作用。结果哈乐组未发生尿潴留,对照组尿潴留发生率为28%,差异有统计学意义(P<0.05)。哈乐组无一例发生尿路感染,对照组有5例(20%),2组间差异无统计学意义(Pgt;0.05)。哈乐组术后平均住院时间为(10.7±3.3) d,对照组为(11.6±3.0) d,2组间差异亦无统计学意义(Pgt;0.05)。 结论哈乐可明显减少尿潴留的发生率,是预防腹部手术后尿潴留的有效药物。

    Release date:2016-09-08 11:52 Export PDF Favorites Scan
  • Pathogens and Antibiotic Resistance Analysis of Primary Nephrotic Syndrome Complicated with Urinary Tract Infection in Children

    ObjectiveTo investigate the distribution and antibiotic resistance of pathogens isolated from children with primary nephrotic syndrome (PNS) complicated with urinary tract infection (UTI), so as to provide references for reasonable use of anti-infective agents in clinical practice. MethodsA total of 218 eligible patients who hospitalized in our department between January 2009 and December 2012 were included, and the data of distribution and antibiotic resistance of pathogens were analyzed retrospectively. ResultsIn this cohort, asymptomatic UTI in children with PNS accounted for 75.7% (165/218). And a total of 249 pathogenic strains were isolated and cultivated. The main pathogens of those subjects were G- bacilli, accounting for 64.3% (160/249), and 63.8% (102/160) of G- bacilli was Escherichia coli (E.coli); G+ cocci accounted for 31.7% (79/249), and 59.5% (47/79) of them was Enterococci faecalis; and fungi accounted for only 4.0%. Drug-susceptibility testing suggested that E.coli had a high resistance rate to hydroxyl ampicillin, cefazolin and ceftriaxone (>50%), but had lower resistance rate to cefoperazone/sulbactam and imipenem (<10%). Enterococci faecalis had a high resistance rate to rifampicin (74.6%), but had low resistance to vancomycin and linezolid (<10%). ConclusionAsymptomatic UTI is common in children with PNS. E.coli is the major pathogen and the proportion of enterococcus infection is also not low, and these pathogens have a high antibiotic resistance and most of them are multi-resistant.

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  • The Nursing Experience of Preoperative Treatment for Urethral Injury with Ureteroscopic Urethral Realignment

    ObjectiveTo explore the nursing experience of preoperative treatment for urethral injury with ureteroscopic urethral realignment. MethodsThe key points of the nursing experience of preoperative treatment for 58 cases of urethral injury with ureteroscopic urethral realignment were retrospectively analyzed. The patients were treated between January 2008 and December 2012. ResultsUrethra catheterization of the 58 patients receiving the ureteroscopic urethral realignment was all successful. The catheter was extracted 4-8 weeks after the treatment, and then the urethra was dilated for two years. All patients had normal urination without any surgery complications during the 5-28-month clinical follow-up. ConclusionUrinary tract infections can be prevented effectively under professional and meticulous preoperative treatment. The incidence of urethral stricture can be reduced greatly. The quality of the patients' life can be improved a lot.

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  • 膀胱冲洗频率对脊髓损伤患者预防尿路感染的效果分析

    目的探讨在脊髓损伤行清洁间歇导尿的患者中膀胱冲洗频率对其预防尿路感染的作用。 方法2012年7月-2013年7月,采用随机对照试验,比较膀胱冲洗频率为1次/d的137例患者(试验组)和冲洗频率为2次/周的141例患者(对照组)的导尿管相关泌尿道感染发生率。 结果导尿后48 h、7 d、14 d,试验组导尿管相关泌尿道感染率分别为2.84%、14.89%、27.66%,对照组分别为2.19%、16.79%、29.93%,两组各阶段差异均无统计学意义(P>0.05)。 结论每日膀胱冲洗对脊髓损伤清洁间歇导尿的患者预防导尿管相关尿路感染作用不明显。

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