尿路结石梗阻所致急性肾盂肾炎脓毒血症的危险因素分析  

Analysis on Risk Factors of Acute Pyelonephritis Sepsis Caused by Urinary Calculi Obstruction

作　　者：张勇辉 余贵亮[1] 李晓铭[1] ZHANG Yonghui;YU Guiliang;LI Xiaoming(Department of Urology,Baoan District People's Hospital,Shenzhen 518100,China)

机构地区：[1]深圳市宝安区人民医院泌尿外科,广东深圳518100

出　　处：《临床医学工程》2020年第12期1721-1722,共2页Clinical Medicine & Engineering

摘　　要：目的分析尿路结石梗阻导致急性肾盂肾炎脓毒血症的危险因素。方法选取尿路结石梗阻患者300例,根据患者是否发生急性肾盂肾炎脓毒血症分为A组(单纯尿路结石梗阻患者,250例)和B组(尿路结石梗阻导致急性肾盂肾炎脓毒血症患者,50例),探讨尿路结石梗阻患者发生急性肾盂肾炎脓毒血症的危险因素。结果单因素分析显示,A组和B组的年龄、合并糖尿病、APACHEⅡ评分、SOFA评分、Crea、BUN、WBC比较,差异有统计学意义(P<0.05)。多因素回归分析显示,年龄、合并糖尿病、APACHEⅡ评分、SOFA评分、Crea、BUN、WBC为尿路结石梗阻所致急性肾盂肾炎脓毒血症发生的独立危险因素。结论尿路结石梗阻所致急性肾盂肾炎脓毒血症的危险因素较多,临床中针对相关危险因素进行预防和干预,对降低尿路结石梗阻患者急性肾盂肾炎脓毒血症发生风险有重要价值。Objective To analyze the risk factors of acute pyelonephritis sepsis caused by urinary calculi obstruction.Methods 300 patients with urinary calculi obstruction were selected.According to the incidence of acute pyelonephritis sepsis,the patients were divided into group A(250 patients with simple urinary calculi obstruction)and group B(50 patients with acute pyelonephritis sepsis caused by urinary calculi obstruction).The risk factors for incidence of acute pyelonephritis sepsis in patients with urinary calculi obstruction were discussed.Results Single factor analysis showed that there were statistically significant differences between group A and group B in age,complication of diabetes mellitus,APACHEⅡ score,SOFA score,Crea,BUN and WBC(P<0.05).Multiple factors regression analysis showed that age,complication of diabetes mellitus,APACHEⅡ score,SOFA score,Crea,BUN and WBC were independent risk factors for incidence of acute pyelonephritis sepsis caused by urinary calculi obstruction.Conclusions There are many risk factors for acute pyelonephritis sepsis caused by urinary calculi obstruction.In clinical practice,prevention and intervention based on relevant risk factors are of great value in reducing the incidence risk of acute pyelonephritis sepsis in patients with urinary calculi obstruction.

关 键 词：尿路结石梗阻 急性肾盂肾炎 脓毒血症 危险因素 

分 类 号：R691.4[医药卫生—泌尿科学]