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目的探讨慢性丝虫性乳糜尿患者的临床特点及治疗效果,为慢性丝虫性乳糜尿患者的治疗及关怀照料提供科学方法。方法对2005-2015年住院确诊的慢性丝虫性乳糜尿患者的临床资料进行回顾性分析。结果 486例慢性丝虫性乳糜尿患者主要分布在山东省枣庄、济宁、临沂及菏泽等原丝虫病流行区。年龄在54~83岁,以60~69岁组最多,女性多于男性,农民占94.86%。文化程度:文盲占41.36%,小学占39.71%。病程在2周~40年,以20年组最多。患者以间歇性发作为主,尿液呈乳白、深褐色,带有白色絮状物、血块或烂肉状凝块,伴有腰部酸胀痛或不适等。采用中西药物治疗取得了满意的效果,即时治愈率为81.69%,总有效率为98.56%。平均住院时间在(17.48±3.82)d。结论山东省原丝虫病流行区仍有许多慢性丝虫性乳糜尿患者,中西医结合治疗慢性丝虫性乳糜尿患者具有显著的临床疗效。
Objective To investigate the clinical features and therapeutic effects of chronic filarial chyluria in patients with chronic filarial chyluria and provide scientific methods for the treatment and caring care. Methods The clinical data of patients with chronic filarial chyluria diagnosed during 2005-2015 were analyzed retrospectively. Results 486 cases of chronic filariasis chyluria patients mainly distributed in Zaozhuang, Jining, Linyi, Heze and other endemic filariasis endemic areas in Shandong Province. The age ranged from 54 to 83 years, with the highest in the 60- to 69-year-old group, with more females than males and 94.86% of peasants. Literacy: illiterate 41.36%, primary school 39.71%. Duration of 2 weeks to 40 years, with 20 years group up. Patients with intermittent attacks based, urine was milky white, dark brown, with white flocculus, clot or rotten clumps, accompanied by waist soreness or discomfort and so on. The use of Chinese and Western medicine has achieved satisfactory results, the immediate cure rate was 81.69%, the total effective rate was 98.56%. The average hospital stay was (17.48 ± 3.82) days. Conclusion There are still many chronic filarial chyluria patients in endemic filar endemic areas in Shandong Province. The combination of traditional Chinese and western medicine has a significant clinical effect in treating chronic filarial chyluria patients.