| Object iveTo observe the application effect of acupoint application combined with microwave therapy in patients with spleen and kidney Yang deficiency type recurrent urinary tract infection,so as to explore non-drug therapy that is more beneficial to patients with spleen and kidney Yang deficiency type recurrent urinary tract infection,and provide reference for improving urinary tract symptoms,reducing bacterial drug resistance and recurrence,improving clinical efficacy and enriching traditional Chinese medicine nursing intervention programs.Met hodsA total of 120 patients with recurrent urinary tract infection of spleen-kidney Yang deficiency and meeting the inclusion and exclusion criteria who were hospitalized in the Department of Nephrology of a third-grade grade A Hospital of traditional Chinese Medicine in Heilongjiang Province from October 2021 to October 2022 were selected as the research objects by convenience sampling method.Subjects signed informed consent after fully understanding the intervention.According to the order of admission,randomized number table method was used to divide the enrolled subjects into four groups:control group(n=3 0,routine treatment and nursing in hospital),experimental group Ⅰ(n=30,acupoint application on the basis of control group),experimental group Ⅱ(n=30,microwave therapy on the basis of control group)and experimental group Ⅲ(n=30,On the basis of control group,acupoint application combined with microwave therapy was also given).In strict accordance with the established intervention plan,the four groups of subjects were subjected to intervention once a day for 2 weeks.Before intervention and at the end of 2 weeks,TCM syndrome score scale and urinary white blood cell count table were used to evaluate the clinical symptoms and urinary white blood cell count of the four groups.The clinical efficacy and negative conversion rate of urinary bacteria culture were evaluated and analyzed at the end of the two weeks of intervention.Telephone or wechat follow-up was conducted 6 months after the treatment course,and the number of recurrence cases was counted.All the data in this study were imported into Excel,and the original database was established.Two people carried out logical error detection on it,and then SPSS 26.0 was used for statistics and analysis of the data.Test level α=0.05,P<0.05 for statistical difference.ResultsAmong the 120 patients included,1 withdrew due to skin allergy,1 withdrew due to sudden need for specialized treatment,and 2 cases were excluded due to failure to cooperate with the collection of all data.A total of 116 patients completed 2-week clinical observation,including 28 cases in the control group,29 cases in experimental group Ⅰ,30 cases in experimental group Ⅱ,and 29 cases in experimental group Ⅲ.1 Analysis of baseline data of patientsBefore intervention,there was no statistical difference in age,course of disease and other general data among the four groups(P>0.05),and baseline data was balanced and comparable among all groups.2 Clinical data analysis2.1 Integral data analysis of TCM syndromesBefore intervention,there was no significant difference in TCM syndrome scores among the four groups(F=0.05 1,P=0.985>0.05).After intervention,TCM syndrome scores of the four groups decreased,the difference was statistically significant(F=9.114,P=0.000<0.05),the improvement of test group Ⅲ was better than that of the other three groups,the difference was statistically significant(P<0.05),and the difference was statistically significant(P=0.016,P=0.023,experimental group Ⅰ and experimental group Ⅱ compared with the control group,the difference was statistically significant(P=0.0 1 6,P=0.023,P<0.0 5),there was no significant difference between experimental group Ⅰ and experimental group Ⅱ(P=0.875>0.05).2.2 Analysis of urine white blood cell countBefore intervention,there was no significant difference in urinary white blood cell count among the four groups(F=0.001,P=1.000>0.05).After intervention,urine white blood cell count in all four groups decreased,the difference was statistically significant(F=6.598,P=0.000<0.05),test group Ⅲ was more significantly decreased than the other three groups,the difference was statistically significant(P<0.05),test group Ⅰ and test group Ⅱ compared with the control group,the difference was statistically significant(P=0.028,P=0.020,P<0.05),but there was no significant difference between experimental group Ⅰ and experimental group Ⅱ(P=0.904>0.05).3 Analysis of Curative effect3.1 Clinical effectAfter 2 weeks of intervention,the clinical efficacy and effective rates of the four groups were:Control group 71.43%,test group 189.66%,test group Ⅱ90%,test group Ⅲ96.5 5%,all experimental groups were better than the control group,the difference was statistically significant(P<0.05),test group Ⅲ was better than test group Ⅰ and test group Ⅱ,the difference was statistically significant(P<0.05),test group Ⅰ and test group Ⅱ compared,The difference was not statistically significant(P>0.05).3.2 Negative conversion rate of urine bacterial cultureAfter 2 weeks of intervention,the negative conversion rates of urine bacterial culture in the four groups were as follows:5 3.57%of control group,5 8.62%of test group Ⅰ,60.00%of test group Ⅱ and 93.10%of test group Ⅲ were higher than those of the other three groups,the difference was statistically significant(P<0.05),while pairwise comparison between test group Ⅰ,test group Ⅱ and control group showed no statistically significant difference(P>0.05).3.3 Recurrence rateFollow-up was conducted 6 months after the intervention,and the recurrence rates of the four groups were:5 5.56%in control group,45.00%in experimental group Ⅰ,47.62%in experimental group Ⅱ and 10.71%in experimental group Ⅲ.The recurrence rate of experimental group Ⅲ was lower than that of the other three groups,and the difference was statistically significant(P<0.05).There was no statistically significant difference between experimental group Ⅰ,experimental group Ⅱ and control group(P>0.05).Conclusions1.The clinical intervention of acupoint application combined with microwave therapy and the single application of acupoint application and microwave therapy on the patients with spleen and kidney Yang deficiency type recurrent urinary tract infection has achieved significant effects.2.The clinical effect of microwave therapy on spleen and kidney Yang deficiency type recurrent urinary tract infection is slightly better than that of acupoint application.3.Acupoint application combined with microwave therapy can significantly reduce the TCM syndrome score and urinary white blood cell count of patients with recurrent urinary tract infection,and improve the clinical efficacy.However,the effect of acupoint application combined with microwave therapy is comparable to that of urinary bacterial negative conversion rate and recurrence rate. |
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