老年糖尿病患者尿路感染危险因素分析  

Analysis of Risk Factors for Urinary Tract Infection in Elderly Diabetic Patients

作　　者：冯萍 季亮 祁伟[1] Feng Ping;Ji Liang;Qi Wei(Department of General Internal Medicine,De'an Hospital of Changzhou City,Changzhou,Jiangsu,213000,P.R.China)

机构地区：[1]常州市德安医院综合内科,江苏常州213000

出　　处：《老年医学与保健》2020年第2期242-244,253,共4页Geriatrics & Health Care

摘　　要：目的分析老年糖尿病(diabetes mellitus,DM)患者发生尿路感染(urinary tract infection,UTI)危险因素,为防治该病提供依据。方法选取常州市德安医院2017年1月-2018年1月收治的90例老年DM患者,观察住院期间UTI发生情况,将患者分为未合并UTI组和合并UTI组。采用单因素分析和多因素Logistic回归分析影响老年DM患者发生UTI的危险因素。针对以上危险因素提出相应对策。结果 90例老年DM患者中有12例合并UTI,占13.33%。2组性别、体质量指数、泌尿系肿瘤、胰岛素治疗、收缩压和舒张压差异无统计学意义(P>0.05)。2组年龄、糖尿病病程、空腹血糖、餐后血糖、糖化血红蛋白、泌尿系结石、血肌酐、血尿素氮、白蛋白和卧床时间比较差异具有统计学意义(P<0.05)。糖尿病病程、空腹血糖、餐后血糖、泌尿系结石、白蛋白和卧床时间为影响老年DM合并UTI患者的单因素(P<0.05);糖尿病病程、空腹血糖、餐后血糖、泌尿系结石、白蛋白和卧床时间为影响老年DM合并UTI患者的独立危险因素(P<0.05)。结论老年DM患者合并UTI具有较高的发病率,可能与糖尿病病程、空腹血糖、餐后血糖、泌尿系结石、白蛋白水平和卧床时间有关,临床控制血糖和预防基础疾病为其防治关键。Objective To study the risk factors for urinary tract infection(UTI) in elderly diabetic(DM) patients and provide a basis for the prevention and treatment of UTI. Methods A total of 90 elderly DM patients admitted to De’an hospital from January 2017 to January 2018 were selected to investigate the incidence of UTI during hospitalization, and they were divided into uncombined UTI group and combined UTI group. Univariate analysis and multivariate logistic regression analysis were used to determine the independent risk factors affecting the incidence of UTI in elderly DM patients, and put forward the corresponding countermeasures. Results Among the 90 patients, 12 ones were complicated with UTI, accounting for 13.33%. There was no significant difference in gender, body mass index, urinary tumor, urinary stone, insulin therapy, systolic blood pressure and diastolic blood pressure between the two groups(P>0.05), but there were statistically significant differences in age, duration of diabetes, fasting blood glucose, postprandial blood glucose, glycosylated hemoglobin, serum creatinine, blood urea nitrogen,albumin and bed time between the two groups(P<0.05). The duration of diabetes mellitus, fasting blood glucose, postprandial blood glucose, urinary calculi, albumin and bed time were the single factors for UTI in elderly DM patients(P<0.05);diabetic course, fasting blood glucose, postprandial blood glucose, urinary calculi, albumin and bed time were independent risk factors for UTI in elderly DM patients(P<0.05). Conclusion Elderly DM patients have a higher incidence of UTI, which may be related to the duration of diabetes, fasting blood glucose, postprandial blood glucose, urinary stones, albumin level and bed time.Clinical control of blood glucose and prevention of basic diseases are the key to the prevention and treatment.

关 键 词：老年 糖尿病 尿路感染 危险因素 

分 类 号：R587.2[医药卫生—内分泌] R691.3[医药卫生—内科学]