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<FONT size=3>即膀胱炎和</FONT><BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"><FONT size=3>尿道炎</B>。老年妇女易患下泌尿道</FONT><BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"><FONT size=3>感染</B>，因为诱发因素颇多，有先天的，也有后天的：</SPAN><SPANLANG=EN-US><?XML:NAMESPACEPREFIX=ONS="URN:SCHEMAS-MICROSOFT-COM:OFFICE:OFFICE" /><?XML:NAMESPACE PREFIX = O /><O:P></O:P></FONT></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US>1.</SPAN><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">女性尿道外口与<BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL">阴道</B>口、肛门邻近，易被<BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL">阴道</B>炎分泌（<BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL">阴道</B>炎、子<BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL">宫颈炎</B>时）及粪便污染；</SPAN><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US>2.</SPAN><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">由于<STRONG>卵巢</STRONG>功能衰退，体内雌激素水平下降，亦受雌激素作用影响的尿道上皮萎缩变薄，防御能力大大削弱，细菌容易入侵；</SPAN><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US>3.</SPAN><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">女性尿道生来直、宽而短，长度仅</SPAN><SPANLANG=EN-US>3</SPAN><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">～</SPAN><SPANLANG=EN-US>4</SPAN><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">厘米，细菌一旦入侵，易从尿道上行进入膀胱。</SPAN><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US>4.</SPAN><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">随着年龄的增长，膀胱的组织结构及功能发生变化，常排尿不畅不尽。残余尿是细菌生长繁殖的良好培养基。</SPAN><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">急性下泌尿道<BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL">感染</B>一般起病突然，不发热，无寒颤，就是尿频、尿急与尿痛，有的排尿时连小腹部及会阴部也痛。尿量少，但浑浊，偶而还见血尿。若伴有尿潴留，常伴下腹持续性隐痛与压痛。要是并发泌尿道<BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL">感染</B>（肾盂肾炎），必然出现全身症状，像寒战、发热、腰酸和胃肠不适等等。</SPAN><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">急性尿道和膀胱发炎时，最要紧的是卧室休息，多饮开水，增加营养并避免刺激性食物（忌辛辣、酒料）。热水坐浴可改善血液循环、缓解症状。口服碱性药物（小苏打）、解痉药（颠茄酊、莨菪碱合剂、普鲁本辛等）可减轻膀胱刺激与痉挛。</SPAN><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">根据尿培养结果，选用致病菌敏感的消炎抗菌药物，若处理及时，症状大多在</SPAN><SPANLANG=EN-US>1</SPAN><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">周左右消失。为防重复<BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL">感染</B>，平时应特别注意外阴清洁，勤换内裤。经常多饮水以利尿而起冲洗膀胱作用。</SPAN><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANLANG=EN-US><O:P></O:P></SPAN>
<P></P><PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT><SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'">要是屡屡急性发炎，口服小量雌激素或<BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL">阴道</B>内塞入雌激素栓剂以促使尿道内、外括约肌恢复张力和上皮生长，并且增强局部抵御能力。</SPAN></BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"></BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"></BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"></BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"></BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"></SPANSTYLE="FONT-FAMILY:宋体;MSO-ASCII-FONT-FAMILY:'TIMESNEWROMAN';MSO-HANSI-FONT-FAMILY:'TIMESNEWROMAN'"></PCLASS=MSONORMALSTYLE="MARGIN:0CM0CM0PT;TEXT-INDENT:21PT;TEXT-ALIGN:LEFT;MSO-CHAR-INDENT-COUNT:2.0"ALIGN=LEFT></BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL"></BSTYLE="MSO-BIDI-FONT-WEIGHT:NORMAL">
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毛舜英<br>
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<p> 上海市妇女康复专业委员会委员，农工民主党党员，曾先后担任浙医大妇幼保健院妇产科医师、湖州市中心医院妇产科主任、湖州市第二届计划生育协会副会长，现任湖州阳光女子医院名誉院长、妇科主任。</p></td>
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