CAJ | 학술논문

目的：探讨寒热错杂型复发性泌尿系感染的证候分布特点，以提高临床疗效。方法选取中医辨证为寒热错杂证的复发性泌尿系感染患者240例，其中，糖尿病患者和非糖尿病患者各120例。根据不同伴发疾病、不同病程、病情轻重分层进行证候分布比率的χ2检验。同时，对中医证候采用积分法进行t检验。结果伴发糖尿病组、病程1年以上组和病情轻组的中医证候分布以乏力等阴亏症状为主( P<0．05或P<0．01)，不伴发糖尿病组、病程1年以下组及主症4分以上组的中医证候积分较高(P<0．01)。结论以不同伴发疾病、病程、病情分层研究寒热错杂型复发性泌尿系感染，有助于客观指导临床针对性用药，提高临床疗效。
목적：탐토한열착잡형복발성비뇨계감염적증후분포특점，이제고림상료효。방법선취중의변증위한열착잡증적복발성비뇨계감염환자240례，기중，당뇨병환자화비당뇨병환자각120례。근거불동반발질병、불동병정、병정경중분층진행증후분포비솔적χ2검험。동시，대중의증후채용적분법진행t검험。결과반발당뇨병조、병정1년이상조화병정경조적중의증후분포이핍력등음우증상위주( P<0．05혹P<0．01)，불반발당뇨병조、병정1년이하조급주증4분이상조적중의증후적분교고(P<0．01)。결론이불동반발질병、병정、병정분층연구한열착잡형복발성비뇨계감염，유조우객관지도림상침대성용약，제고림상료효。
Objective To explore the influential factors of syndrome distribution of recurrent uri-nary tract infection( rUTI) with the syndrome of intermingled heat and cold in order to enhance the clinical efficacy. Methods By adopting the stratified method based on accompanying disease as well as disease course and degree of disease, the rates and degrees of syndrome distribution were analysised by chi square test and t-test on 240 cases of rUTI with the intermingled heat and cold syndrome. Results The rates and degrees of syndrome distribution varied from comorbidities, disease course and severity of diseases ( P<0. 05 or P<0. 01 ) . Conclusion To provide scientific guidance on strict selection of specific herbs and enhance the clinical efficacy, rUTI with the syndrome of intermingled heat and cold was studied by adopting the stratified method based on accompanying disease as well as disease course and degree of disease.