48例成年女性2型糖尿病合并无症状菌尿的相关因素分析  

Relevant Factors of Asymptomatic Bacteriuria in 48 Cases of Adult Female Patients with Type 2 Diabetes

作　　者：龚敏[1] 王爱华[1] 曾艺鹏[1] 

机构地区：[1]上海市南汇区中心医院内分泌科,上海201300

出　　处：《中国现代医生》2009年第28期13-14,23,共3页China Modern Doctor

摘　　要：目的探讨2型糖尿病女性患者无症状性菌尿(ASB)的患病情况及相关危险因素。方法用t检验和相关分析探讨了48例成年女性糖尿病患者及与患者年龄、性别及月经状况相匹配的42例对照者的ASB的患病率及相关患病因素。结果成年女性2型糖尿病ASB患病率为18.8%,大肠杆菌为尿培养最常见的微生物,年龄、尿微量白蛋白与菌尿密切相关(P<0.05),而与糖尿病病程、血糖、HbAlc、血压、视网膜及神经病变无关。结论ASB在2型糖尿病女性患者的患病率是增高的,有必要在女性2型糖尿病的高龄、肾病患者中常规作尿培养。Objective To study asymptomatic bacteriuria （ASB）of the adult female patients with type 2 diabetes asymptomatic bacteriuria and the related risk factors. Methods The T test and correlation analysis of the ASB prevalence and related risk factors were made in 48 adult female patients with diabetes mellitus and 42 ASB controls matched with age,sex and menstrual status. Results The morbidity rate of ASB was 18.8% in adult diabetic women. E. coli was the most prevalent microorganism responsible for positive urine culture. Age and microalbuminuria had a meaningful relationship with bacteriuria（P〈0.01）, but no association was evident between duration of diabetes,nephropathy,HbAlc level and the presence of ASB. Conclusion The morbidity rate of ASB is higher in women with type 2 diabetes. Routine urine culture can be recommended for elderly women of type 2 female diabetes or for type 2 female diabetes complicated with nephropathy.

关 键 词：2型糖尿病 成年女性 菌尿 

分 类 号：R587.1[医药卫生—内分泌]