老年尿脓毒血症患者的临床特征分析  

Analysis of clinical characteristics of elderly patients with urosepsis

作　　者：李亚男 章隽[1] 连雪梅 吕芳 高永红[1] Li Yanan;Zhang Jun;Lian Xuemei(Beijing Aerospace General Hospital,Beijing 100076)

机构地区：[1]北京航天总医院干部医疗科,100076 [2]河北省保定市第一中心医院

出　　处：《中国现代医药杂志》2020年第9期21-24,共4页Modern Medicine Journal of China

摘　　要：目的探讨老年尿路感染并发脓毒血症患者的临床特征。方法选择2018年2月~2019年5月于我科诊断为尿路感染的老年患者67例,根据血、尿培养结果分为尿脓毒血症组(28例)和非尿脓毒血症组(39例),统计分析患者年龄、性别、体温、基础疾病、实验室指标等临床资料。结果两组性别、年龄、最高体温、白细胞计数、血小板计数、C反应蛋白等方面比较,差异无统计学意义(P>0.05),两组基础疾病伴有糖尿病、血降钙素原水平组间比较差异有统计学意义(P<0.05)。降钙素原在最佳工作位点1.89ng/ml时诊断尿脓毒血症价值最佳。结论基础疾病伴有糖尿病是尿脓毒血症的高危因素,降钙素原升高在早期诊断尿脓毒血症、评估病情和预后及制定治疗方案等方面都具有较高的临床价值。Objective To explore the clinical characteristics of elderly patients with urinary tract infection complicated by urosepsis.Methods A retrospective analysis of 67 elderly patients diagnosed with urinary tract infection in our department was conducted from Feb 2018 to May 2019.All patients were divided into two groups according to blood and urine culture:urosepsis group(28 cases)and non-urosepsis group(39 cases).Statistical analysis of clinical data such as gender,age,body temperature,underlying diseases,laboratory indicators were conducted.Results There was no statistically significant difference in gender,age,maximum body temperature,white blood cell count,platelet count and C-reactive protein between the two groups(P>0.05).There were statistically significant difference between the two groups in patients accompanied by diabetes and procalcitonin(P<0.05).Procalcitonin had the best value in the diagnosis of urosepsis when the optimal working site was 1.89ng/ml.Conclusion Underlying diseases and diabetes are high-risk factors for urosepsis.Procalcitonin elevation has a high clinical value in the early diagnosis of urosepsis,evaluation of disease status and prognosis,and development of treatment plans.

关 键 词：老年人 尿脓毒血症 临床特征 降钙素原 

分 类 号：R691.3[医药卫生—泌尿科学]