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反覆性泌尿道感染之中醫會診病例報告

Chinese Medicine Consultation of Bedridden with Recurrent Urinary Tract Infection: A Case Report

摘要


本病例是一位88歲女性患者,長期患有心房振顫、糖尿病、高血壓、高血脂症及老年失智症服用西藥控制。於94年2月13日因中大腦動脈阻塞合併日漸嚴重的失智症狀而長期臥床,並接受居家護理師及家醫科醫師定期家訪照顧。於99年05月起因反複性泌尿道感染合併意識混亂而多次住院治療,出院期間由於尿液容易混濁及多量沉積物產生而使導尿管阻塞,進而導致反複性泌尿道感染。多次投與預防性抗生素治療但是無法改善症狀而會診中醫科,經中醫師診斷為淋證,脾腎陽虛型。以鼻胃管灌食中藥粉附子湯加減,經中醫治療後患者長期尿液混濁及泌尿道感染的現象明顯改善。

並列摘要


This 88-year-old bedridden women patient had history of Congestive heart failure, atrial fibrillation, diabetes mellitus, essential hypertention, hyperlipidemia, right MCA infarction and Chronic renal failure with N-G tube, cystostomy. The patient received Chinese medicine treatment due to recurrent urinary tract infection and cystostomy tube obstruction in more frequent in recent one year. The syndrome differentiation is deficient energy of Kidney and Spleen, moisture in Bladder. Modified Fu Zi Tang and Zhu Ling Tang are prescribed. The patient's turbid urine and recurrent urinary tract infection have improved significantly. This case is a successful example of Chinese medicine intervention that improves the quality of life.

並列關鍵字

bedridden recurrent UTI Fu Zi Tang Zhu Ling Tang

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