Urinary Tract Infections In Elderly Actual Situation Mixed Card Syndromes Studied

BackgroundSenile urinary tract infection is a common infectious disease in the elderly. Among them, the incidence of old women accounts for about5%,while that of elderly men accounts for1%～2%.This disease is easy to break out repeatedly. According to the part of the infection, Senile urinary tract infection can be divided into the upper urinary tract infection and the lower urinary tract infection. But people, nowadays, lack enough subjective understanding of the disease and attach little importance to it. Also, the regular clinical laboratory examination in the diagnosis of urinary tract infection is not exact usually,and the incorrect and unreasonable use of antibiotics consequently result in the widespread resistance to several antibiotics.Because of all of those reasons, diagnosis and treatment for this disease increased a lot of invisible barriers, the development of disease severity can lead to proteinuria, hypertension and renal failure and other serious consequences.Senile urinary tract infection is one of all the diseases that traditional Chinese medicine is good at treating.In traditional Chinese medicine,"senile urinary tract infection" belongs to the category of "stranguria". It is generally believed that in the traditional Chinese medicine it is located in the bladder and kidneys. And the pathogenesis can be mainly summarized into two aspects:"the deficiengcy of the kidney","heat accumulation of bladder ". Both ancient physicians and modern scholars, in stranguria research, has accumulated rich clinical experience, which means that it has obtained certain achievements. What is more,specially designed drug has been created to treat the disease, and the curative effect in clinic has been verified. However, Chinese medicine still has many insufficient places in the research and treatment for stranguria.For example, our understanding of the etiology and pathogenesis of stranguria in TCM is incomplete and the syndrome differentiation and treatment is often constrained by textbooks,which lacks innovation and flexibility.All of these has hindered our progress in the study of stranguria. This research through the clinical observation of senile patients with urinary tract infections, preliminarily summarizes senile urinary tract infection’s symptomatology characteristics of the syndrome of intermingled deficiengcy and excess,which offers a new way for its dialectical and treatment and source.ObjectiveThis research through the clinical observation of100cases of senile patients with urinary tract infection,has a preliminary knowledge of senile urinary tract infection’s symptomatology characteristics of the syndrome of intermingled deficiengcy and excess, in order to better guide clinical syndrome differention and treatment.Methods and Results This research, mainly in the form of questionnaire survey, has observed and studied100cases of elderly patients with urinary tract infection, and analyzed the results of statistics data by using statistical description method. Results show that:among the100cases of senile patients with urinary tract infection of investigation and research, the patients that have been diagnosed with the syndrome of intermingled deficiengcy and excess accounts for83%,while the patients that have been diagnosed with the syndrome of excess accounts for17%,which means the syndrome of intermingled deficiengcy and excess are common in the elderly patients with urinary tract infection. Of the83patients with the syndrome of intermingled deficiengcy and excess, the syndrome of intermingled yang deficiengcy and excess holds45cases, which are the most common. Next is intermingled yin-yang deficiengcy and excess with29cases,and the last is intermingled yin deficiengcy and excess with only9cases,which are the most rare. Through the statistical analysis of clinical symptoms, this topic also summarizes common clinical symptoms of senile urinary tract infections, as well as the common clinical symptoms and characteristics of the syndrome of intermingled deficiengcy and excess, the syndrome of intermingled yang deficiengcy and excess, the syndrome of intermingled yin deficiengcy and excess, the syndrome of intermingled yin-yang deficiengcy and excess, thus preliminarily understanding the senile urinary tract infection syndromes distribution characteristics. In addition,the clinical characteristic of senile patients with urinary tract infection have certain relevance to gender. Among them, the ratio of the female and male is83:19. Female patients accounted for most; And for the male after60years old, its trend of incidence is roughly rising. And senile urinary tract infection has certain characteristics of age distribution, which means the patients of60～64years old are the most common.ConclusionsThis research, through studying the symptomatology characteristics of the syndrome of intermingled deficiengcy and excess among the patients with senile urinary tract infection, has found that the syndrome of intermingled deficiengcy and excess is the most common. Among senile patients with the syndrome of intermingled deficiengcy and excess, the syndrome of intermingled yang deficiengcy and excess is the most common, followed by the syndrome of intermingled yin-yang deficiengcy and excess, the syndrome of intermingled yin deficiengcy and excess. What’s more, The happening of urinary tract infection have certain relevance to the gender. Among them, the majority are the female. All of those further deepened our understanding and attention about the pathogenesis of urinary tract infections in elderly patients, which,at the same time, also injected new ideas for clinical diagnosis and treatment, eventually reducing the recurrence rate of senile urinary tract infection and improving the clinical treatment rate of the disease.