摘要
目的：如何合理治疗膀胱炎，尿沉渣中抗体包裹细菌（ＡＣＢ试验）在指导尿感治疗中的意义。方法：分组治疗急性膀胱炎２２３例；氟嗪酸０．６单剂顿服，０．２每日 ２次共３ ｄ、０．２每日 ２次共７ ｄ；复方新诺明 ５片单剂顿服，２片每日２次共３ｄ。治疗停止后跟踪监测４周，治疗前送检ＡＣＢ试验。结果：上述各组停药后４周治愈率分别为６８％、８６％、９１．７％、６３％和８４％。３ｄ疗法结果表明：①比单剂治愈率高（Ｐ＜０．０５）；②较之单剂治疗其复发车少（Ｐ＜０．０５）；③治愈率与 ７ ｄ疗法无明显差异（Ｐ＞０．０５）。 ＡＣＢ试验与治疗是否成功无关（Ｐ＜０，０５），亦与治疗失败或复发无关（Ｐ＜０．０５，故ＡＣＢ不能作为尿感定位的根据。结论：推荐使用３ｄ疗法。ＡＣＢ试验对尿感的治疗无指导意义。
Objective:How to cure cystitis in a reasonable and better way ,the meaning of ACB test in direction of therapy in urinary .Methods:In the study of 223 women with acute cystitis,we observed different efficacies of the following the rapeutics:Ofloxacin 0.6 g for single-dose therapy and 0. 2 B. i. d far three-day course or for seven-day course;SMZco five tablets for single-dose therapy,and two tablets bid for therr-day course.(The ACB test was done before each treatment and we still had ob- servation for four weeks after treatment stopped).Results:The result in different cure groups is that,the rates of cure were separately 68%,86% .91.7%,63%and 84% .These results suggested that three-day course inducde higher cure rate (P<0.05 lower incidence of relapse(p<0.05)than single-dose therapy.The rate of cure had no significant difference between three-day course and seven- day course(P>0.05);ACB test can not prognose the cure rate or failure rate.So ACBtest can not be used as the evi- dence to decide whether a patient has urinary infection.Conclusion:We introduce three-day-course therapy.ACB test had no sig- nicance in direction of therapy in urinary infection.
出处
《中国中西医结合肾病杂志》
2001年第1期41-43,共3页
Chinese Journal of Integrated Traditional and Western Nephrology
