良性前列腺增生患者行经尿道切除术后发生尿路感染相关危险因素调查与防护措施分析  

Investigation on Related Risk Factors of Urinary Tract Infection in Patients with Benign Prostatic Hyperplasia after Transurethral Resection and Analysis on Protective Measures

作　　者：李利敏[1] 王倩倩 LI Limin;WANG Qianqian(Department of Infectious Diseases,Jiaozuo People's Hospital,Jiaozuo 454001,China)

机构地区：[1]河南省焦作市人民医院感染性疾病科,河南焦作454001

出　　处：《临床医学工程》2024年第5期635-636,共2页Clinical Medicine & Engineering

摘　　要：目的分析良性前列腺增生(BPH)患者行经尿道切除术(TURP)后发生尿路感染相关危险因素与防护措施。方法选择于我院行TURP的80例BPH患者,根据尿路感染发生情况分为两组,分析BPH患者行TURP术后发生尿路感染的危险因素,并制定防护措施。结果80例BPH患者中有15例患者发生术后尿路感染。单因素分析显示,感染组术前进行导尿术、合并糖尿病、术前未使用抗生素、导尿管留置时间>5 d占比均高于未感染组(P<0.05)。Logistic回归分析结果显示,术前进行导尿术、合并糖尿病、术前未使用抗生素、导尿管留置时间>5 d是BPH患者行TURP术后发生尿路感染的独立危险因素(OR>1,P<0.05)。结论BPH患者TURP术后易发生尿路感染,术前进行导尿术、合并糖尿病、术前未使用抗生素、导尿管留置时间>5d是其独立危险因素,及时制定防护措施可减少尿路感染发生。Objective To analyze the related risk factors of urinary tract infection in patients with benign prostatic hyperplasia(BPH)after transurethral resection(TURP)and protective measures.Methods 80 BPH patients in our hospital were treated with TURP.They were divided into two groups according to urinary tract infection.The risk factors of urinary tract infection in BPH patients after TURP were analyzed,and the protective measures were formulated.Results Among the BPH patients,15 cases had postoperative urinary tract infection.Univariate analysis results showed that the proportion of preoperative catheterization,diabetes mellitus,non antibiotics before surgery,and catheter retention time>5 days in the infection group were higher than those in the non-infection group(P<0.05).Logistic regression analysis results showed that preoperative catheterization,diabetes mellitus,non antibiotics before surgery,and catheter retention time>5 days were independent risk factors of urinary tract infection in BPH patients after TURP(OR>1,P<0.05).Conclusions BPH patients are prone to urinary tract infection after TURP.Preoperative catheterization,diabetes mellitus,non antibiotics before surgery,and catheter retention time>5 days are independent risk factors.Therefore,timely protective measures should be taken to reduce urinary tract infection.

关 键 词：良性前列腺增生 经尿道切除术 尿路感染 危险因素 防护措施 

分 类 号：R697.32[医药卫生—泌尿科学]