Clinical efficacy of abdominal moxibustion at the Zhongji (CV3) in combination with Yiqi Tonglin Yangyin decoction and antibiotics for treating elderly female patients with complicated urinary tract infection.

H U Yunhao, Zhang Yi, Zhao Min, Zhu Danyang, Jia Xing, Wang Cunzhou
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Abstract

Objective: To investigate the clinical effect of abdominal moxibustion at the Zhongji (CV3) combined with Yiqi Tonglin Yangyin decoction and antibiotics on elderly women with complicated urinary tract infections.

Methods: One hundred and forty-four elderly female patients diagnosed with complicated urinary tract infections and admitted to our hospital were selected for this study. They were randomly assigned to two groups: the dual treatment group, consisting of 72 patients, treated with antibiotics combined with Yiqi Tonglin Yangyin decoction, and the triple treatment group, comprising 72 patients, who received abdominal moxibustion at the Zhongji (CV3) in addition to the dual treatment. The clinical efficacy, Traditional Chinese Medicine (TCM) syndrome score, immune function indicators, oxidative stress status indicators, symptom recovery, and recurrence were evaluated and compared.

Results: Before treatment, there was no statistically significant differences observed in the TCM syndrome score, levels of immunoglobulin A (IgA), immunoglobulin M (IgM), xanthine oxidoreductase (XOD), malondialdehyde (MDA) and superoxide dismutase (SOD) between the two groups (P >0.05). After treatment, the triple group exhibited a significantly higher overall response rate (95.9% > 84.7%) compared to the dual group. Moreover, the triple group demonstrated elevated levels of IgA, IgM, and SOD, a lower TCM syndrome score, and reduced levels of XOD and MDA, along with a diminished recurrence rate. Additionally, patients in the triple group experienced a shorter time to return to normal symptoms, bacteriuria, and a routine urine output.

Conclusion: Abdominal moxibustion at the Zhongji (CV3), combined with Yiqi Tonglin Yangyin decoction and antibiotics for treating complicated urinary tract infections in elderly women, can effectively improve the clinical symptoms, TCM syndromes, and immune function of patients. Additionally, it can reduce oxidative stress, promote patient recovery, and lower the recurrence rate with pronounced comprehensive efficacy.

腹灸中基穴联合益气通林养阴汤及抗生素治疗老年女性并发尿路感染的临床疗效观察
目的:探讨腹灸中基穴联合益气通林养阴汤及抗生素治疗老年妇女并发尿路感染的临床疗效。方法:选取我院收治的144例确诊为复杂尿路感染的老年女性患者进行研究。随机分为两组:双重治疗组72例,采用抗生素联合益气通林养阴汤治疗;三联治疗组72例,在双重治疗的基础上加腹灸中穴(CV3)。比较两组患者的临床疗效、中医证候评分、免疫功能指标、氧化应激状态指标、症状恢复情况及复发情况。结果:治疗前,两组患者中医证候评分、免疫球蛋白A (IgA)、免疫球蛋白M (IgM)、黄嘌呤氧化还原酶(XOD)、丙二醛(MDA)、超氧化物歧化酶(SOD)水平比较,差异均无统计学意义(P < 0.05)。治疗后,三联治疗组的总有效率(95.9%比84.7%)明显高于双联治疗组。此外,三联组表现出IgA、IgM和SOD水平升高,中医证候评分降低,XOD和MDA水平降低,复发率降低。此外,三组患者恢复正常症状、细菌尿和常规尿量的时间较短。结论:腹灸中基穴联合益气通林养阴汤、抗生素治疗老年妇女并发尿路感染,可有效改善患者临床症状、中医证候及免疫功能。降低氧化应激,促进患者康复,降低复发率,综合疗效显著。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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