中西医治疗复发性尿路感染的研究进展

Research Progress in the Treatment of Recurrent Urinary Tract Infection with Integrated Traditional Chinese and Western Medicine

摘要: 尿路感染是一种常见的泌尿系统疾病，主要是由于病原微生物侵犯泌尿系统并引起感染。而复发性尿路感染则指泌尿系统感染经过治疗后再次发生感染或者再次感染致病菌而引起的反复发作的尿路感染。根据其发病部位，可分为复发性的上尿路感染和下尿路感染。复发性尿路感染的主要临床表现有尿频、尿急、尿痛或者腰痛及发热等，本病多发生于女性患者。在尿路感染的发病原因中以细菌感染最为常见，也是感染率较高的感染类型，而其他的致病菌包括支原体、衣原体和病毒及细菌等。目前复发性尿路感染的治疗包括中医治疗、西医治疗及生活方式的改变等。西医治疗主要以抗感染治疗为主，而中药治疗则包括中医内治法和外治法。本文就中西医治疗复发性尿路感染的机制及方法进行综述，为本病的治疗提供思路。

Abstract: Urinary tract infection is a common urinary system disease, mainly caused by pathogenic microorganisms invading the urinary system. Recurrent urinary tract infection refers to repeated episodes of urinary tract infection caused by reinfection or re-infection with pathogenic bacteria after treatment. Depending on the site of infection, it can be classified as recurrent upper or lower urinary tract infection. The main clinical manifestations of recurrent urinary tract infection include frequent urination, urgency, urodynia, back pain, and fever. This disease mostly occurs in female patients. Bacterial infection is the most common and high-incidence type of infection among the causes of urinary tract infection, while other pathogenic bacteria include Mycoplasma, Chlamydia, viruses, and other bacteria. Currently, the treatment of recurrent urinary tract infection includes traditional Chinese medicine, Western medicine, and lifestyle changes. Western medicine treatment mainly focuses on anti-infection therapy, while traditional Chinese medicine treatment includes internal and external therapies. This article reviews the mechanisms and methods of treating recurrent urinary tract infection with integrated traditional Chinese and Western medicine, providing insights into the treatment of this disease.