糖尿病合并泌尿系感染患者的危险因素探讨  

A study on risk factors of diabetes complicated with urinary tract infection

作　　者：张金玲[1] 何兰杰[2] 马万瑞[1] 王志忠[3] 

机构地区：[1]宁夏医科大学,宁夏银川750004 [2]宁夏医科大学总医院心脑血管病医院,宁夏银川750002 [3]宁夏医科大学公共卫生学院,宁夏银川750004

出　　处：《宁夏医学杂志》2013年第9期821-822,共2页Ningxia Medical Journal

摘　　要：目的探讨糖尿病合并泌尿系感染患者的临床特征及危险因素。方法以住院的糖尿病患者中,发生泌尿系感染者为病例组,同时期无泌尿系感染者为对照组,分析糖尿病合并泌尿系感染患者的临床特征及危险因素。结果病例组糖尿病病程、糖化血红蛋白、入院随机血糖较对照组均增高(P<0.05),白蛋白、血清钠、血清钙、血清磷较对照组降低(P<0.05)。Logistic回归分析显示,血清钙、血清磷、白蛋白降低,糖化血红蛋白、入院随机血糖升高,农村户籍为糖尿病合并泌尿系感染的危险因素。结论糖尿病合并泌尿系感染患者受诸多因素的影响,在严格控制血糖的同时应对患者应采取个体化的防治措施,降低泌尿系统感染的发生危险。Objective To analyze the clinical characteristics and risk factors of diabetes complicated with urinary tract infection. Methods A retrospective study was conducted on diabetic patients complicated by community acquired sepsis from 2008 to 2010 in General Hospital of Ningxia Medical University. A total of 218 diabetes patients were categorized into with urinary tract infection and without urinary tract infection. Compared the clinical characteristics and analyzed the risk factors of diabetes complicated with urinary tract infection. Results Comparing with the case group, the course of disease, HbAlc and random glucose were higher（ P 〈 0.05 ）, but Na, Ca, K, Alb were lower （P 〈 0.05 ）. Logistic regression analysis showed that high of course of disease, HbA1c ,random glucose and low of Ca, K, Alb and rural household were the risk factors of diabetes complicated with urinary tract infection. Conclusion The diabetes mellitus patients with urinary tract infection are affected by various factors. And the blood sugar should be controlled, simuhaneously that patients should be taken to deal with individualized prevention and control measures to reduce the risk of urinary tract infection.

关 键 词：糖尿病 泌尿系感染 危险因素 

分 类 号：R587.1[医药卫生—内分泌]