复杂性尿路感染患者尿失禁发病情况及危险因素分析  

Analysis on the occurrence and risk factors of urinary incontinence in patients with complicated urinary tract infections

作　　者：李海燕[1] 叶翔翔 金珍珍[1] 余秀秀 陈静[1] LI Haiyan;YE Xiangxiang;JIN Zhenzhen;YU Xiuxiu;CHEN Jing(Department of Urinary Surgery,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325015,China)

机构地区：[1]温州医科大学附属第一医院泌尿外科,浙江温州325015

出　　处：《中国现代医生》2022年第12期1-4,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2018KY512)。

摘　　要：目的调查复杂性尿路感染(CUTI)患者尿失禁发病情况及危险因素。方法选取2019年1月至2021年1月温州医科大学附属第一医院接诊CUTI患者100例,根据尿失禁发病情况分为对照组(未发生41例)与观察组(发生59例),对比两组的临床资料,对影响CUTI发生尿失禁危险因素进行logistic回归分析。结果对100例复杂性尿路感染患者调查显示,59例发生尿失禁,占59%。多元因素logistic回归分析结果显示,性别(OR=1.124,95%CI:0.926~1.493)、分娩次数(OR=1.314,95%CI:0.864~1.693)、憋尿行为(OR=1.457,95%CI:0.899~1.782)、自觉压力(OR=1.157,95%CI:0.794~1.567)、合并慢性病数量(OR=1.186,95%CI:0.657~1.657)、工作类型(OR=1.350,95%CI:0.101~1.781)、如厕状况(OR=1.224,95%CI:0.774~1.641)、习惯性便秘(OR=1.194,95%CI:0.759~1.611)均为造成CUTI患者尿失禁发生的独立危险因素(P<0.001)。结论对CUTI患者调查发现,性别、分娩次数、憋尿行为、自觉压力、合并慢性病数量、工作类型、如厕状况、习惯性便秘可影响尿失禁的发生,是CUTI患者尿失禁的危险因素,积极预防可控因素,对提高患者生活质量具有重要意义。Objective To investigate the occurrence and risk factors of urinary incontinence in patients with complicated urinary tract infections(CUTIs).Methods A total of 100 patients with CUTIs treated in the First Affiliated Hospital of Wenzhou Medical University from January 2019 to January 2021 were selected and divided into the control group(with urinary incontinence,n=41)and the observation group(with no urinary incontinence,n=59)according to the occurrence of urinary incontinence.The clinical data were compared between the two groups,and the risk factors affecting the occurrence of urinary incontinence in patients with CUTIs were analyzed by logistic regression analysis.Results The investigation results of 100 patients with CUTIs showed that urinary incontinence occurred in 59 patients,accounting for 59%.The results of multivariate logistic regression analysis in both groups showed that gender(OR=1.124,95%CI:0.926-1.493),number of deliveries(OR=1.314,95%CI:0.864-1.693),urine-holding behavior(OR=1.457,95%CI:0.899-1.782),self-conscious pressure(OR=1.157,95%CI:0.794-1.567),number of comorbid chronic diseases(OR=1.186,95%CI:0.657-1.657),type of work(OR=1.350,95%CI:0.101-1.781),toileting status(OR=1.224,95%CI:0.774-1.641),and habitual constipation(OR=1.194,95%CI:0.759-1611)were all independent risk factors for the occurrence of urinary incontinence in patients with CUTI(P<0.001).Conclusion Investigation of patients with CUTIs reveals that gender,number of deliveries,urine-holding behavior,self-conscious pressure,number of comorbid chronic diseases,type of work,toileting status,and habitual constipation are factors affecting the occurrence of urinary incontinence and are risk factors for urinary incontinence in patients with CUTIs,and active prevention of controllable factors is of significant benefit to improve the quality of life of patients.

关 键 词：复杂性尿路感染 尿失禁 危险因素分析 生活质量 

分 类 号：R694[医药卫生—泌尿科学]