摘要
目的:观察和分析再发性尿路感染的病因,临床特点,抗生素的选择,疗程及对预后的影响。方法:选择患者50例,均为病程超过半年或半年内尿路感染反复发作在2次以上者,进行合理的抗感染治疗,并观察临床症状缓解,尿常规转归,疗程3～6个月者预后及停药后6个月、1年、2年的复发情况进行分析。结果:50例病人经3～6个月治疗症状完全缓解,尿常规正常47例,占94%,症状明显减轻,尿常规白细胞在每高倍镜视野1～10个者3例,占6%,半年内有效率为100%。随访半年、1年、2年,有6人复发,疗程小于3个月占多数,占复发人数的50%。结论:再发性尿路感染病人,只要合理选用抗生素,适当延长治疗时间达3～6个月,多数尿路感染病人仍可获得较满意的治疗效果。
Objective：Observation and analysis of the causes and the clinical characters of recurrence urinary tract infection as well as antibiotic choices,treatment courses and effects on prognosis.Methods：50 cases whose infection had continued for half a year or occurred at least twice in half a year,were chosen to receive 3 to 6 months of proper antibiotic treatment.The patients＇ improvement was determined through the observation of their symptoms and urine routine examination and the recurrence rates were calculated within 0.5,1 or 2 years after patients stopped receiving medicine.Results：After receiving 3 to 6 months of treatment,50 patients were in complete remission,accounting for 100 percent;47 patients had normal urine,accounting for 94 percent;3 patients had alleviated symptoms and 1 to 10 urine leukocytes within the view of each high-power microscope in urine routine examination,accounting for 6 percent.6 patients had recurrence symptoms,most of whom received less than 3 months treatment,accounting for 50 percent,after 6 months to 2 years＇ follow-up.Conclusion：Most of recurrence urinary tract infection patients may still get satisfactory effect if they receive proper antibiotics treatment for a relatively long period of time up to 3 to 6 months.
出处
《安徽卫生职业技术学院学报》
2010年第1期48-49,共2页
Journal of Anhui Health Vocational & Technical College
关键词
再发性尿路感染
抗生素
预后
复发
Recurrence urinary tract infection
Antibiotic
Prognosis
Recurrence
