住院2型糖尿病患者合并尿路感染的危险因素及防治对策探讨  

Discussion of Risk Factors and Prevent Measures for Urinary Tract Infection in Hospitalized Patients with Type 2 Diabetes Mellitus

作　　者：薛明月 李鑫[1] 康晓慧 赵蕊[1] 李丽霞[1] XUE Ming-yue;LI Xin;KANG Xiao-hui;ZHAO Rui;LI Li-xia(Comprehensive Medical Third Ward of International Department,Beijing Tiantan Hospital Affiliated to Capital Medical University,Beijing,100070,China)

机构地区：[1]首都医科大学附属北京天坛医院国际部综合医疗三病区,北京100070

出　　处：《现代生物医学进展》2022年第13期2453-2457,共5页Progress in Modern Biomedicine

基　　金：北京市自然科学基金面上项目(7082032)。

摘　　要：目的:分析住院2型糖尿病患者合并尿路感染的危险因素,探讨防治尿路感染的对策。方法:回顾性分析2019年5月至2020年5月我院收治的248例2型糖尿病患者的临床资料,根据是否发生尿路感染将其分为感染组(39例)和无感染组(209例)。采用单因素、多因素Logistic回归分析影响住院2型糖尿病患者合并尿路感染的危险因素。结果:单因素分析结果显示,感染组年龄≥60岁、女性、2型糖尿病病程≥10年、留置导尿管、住院时间≥10 d、糖化血红蛋白(HbA1c)≥7%、血肌酐(Scr)≥110μmol/L的患者比例高于无感染组(P<0.05)。多因素Logistic回归分析结果显示,高龄、女性、HbA1c≥7%、留置导尿管是住院2型糖尿病患者合并尿路感染的危险因素(P<0.05)。结论:住院2型糖尿病患者合并尿路感染发生率较高,高龄、女性、血糖水平控制不良、留置导尿管是其合并尿路感染的危险因素,临床应针对高危患者进行干预,以避免尿路感染的发生。Objective:To analyze the risk factors of urinary tract infection in hospitalized patients with type 2 diabetes mellitus,and to explore the prevention and treatment of urinary tract infection.Methods:The clinical datas of 248 patients with type 2 diabetes admitted to our hospital from May 2019 to May 2020 were retrospectively analyzed,and divided into infection group(39 cases) and non-infection group(209 cases) according to the occurrence of urinary tract infection.Univariate and multivariate Logistic regression were used to analyze the risk factors of urinary tract infection in hospitalized patients with type 2 diabetes.Results:Univariate analysis showed that the proportion of patients of age ≥60 years,female,duration of type 2 diabetes ≥10 years,indwell catheter,length of hospital stay ≥10 days,HbA1c ≥7%,serum creatinine(Scr) ≥110 μmol/L in the infected group was higher than that in the non-infected group(P<0.05).Multivariate Logistic regression analysis showed that old age,female,HbA1c≥7% and indwell catheter were risk factors for urinary tract infection in hospitalized patients with type 2 diabetes(P<0.05).Conclusion:There is a high incidence of urinary tract infection in hospitalized patients with type 2 diabetes mellitus.Advanced age,female age,poor blood glucose control and indwelling catheter are the risk factors for urinary tract infection.Intervention should be conducted for high-risk patients to avoid urinary tract infection.

关 键 词：2型糖尿病 尿路感染 危险因素 防治对策 

分 类 号：R587.2[医药卫生—内分泌] R695[医药卫生—内科学]