老年患者经尿道前列腺电切术后泌尿系统感染的危险因素分析  

Analysis of Risk Factors of Urinary System Infection in Elderly Patients after Transurethral Resection of Prostate

作　　者：彭光华[1] 钟愉明 PENG Guanghua;ZHONG Yuming(Department of Urology,Ganzhou People's Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院泌尿外科,江西赣州341000

出　　处：《中国医学创新》2024年第24期167-170,共4页Medical Innovation of China

基　　金：赣州市指导性科技计划项目(赣市科结字[2015]14-03号);赣州市科技计划项目(20222ZDX7777)。

摘　　要：目的:探讨老年患者经尿道前列腺电切术(TURP)后发生泌尿系统感染的危险因素。方法:选取2022年2月—2023年2月于赣州市人民医院行TURP治疗的105例老年患者,收集并比较患者临床资料,根据是否发生感染分为感染组(n=26)和未感染组(n=79),并采用多因素logistic回归分析影响患者术后泌尿系统感染的危险因素。结果:105例老年患者TURP后发生泌尿系统感染的有26例,占比24.76%。两组年龄、体重指数、高血压史、糖尿病史、高血脂史、病程、术中出血量、术中电凝次数、引流管引流量比较,差异均无统计学意义(P>0.05);感染组逼尿肌功能不稳定、导尿管堵塞占比及国际前列腺症状评分(IPSS)、导尿管气囊注水量均高于未感染组,手术时间、留置尿管时间均长于未感染组,差异均有统计学意义(P<0.05)。多因素logistic回归分析显示,逼尿肌功能、手术时间、留置尿管时间是老年患者TURP后发生泌尿系统感染的危险因素(P<0.05)。结论:逼尿肌功能、手术时间、留置尿管时间是老年患者TURP后发生泌尿系统感染的危险因素,应加强针对性干预,以降低泌尿系统感染的发生率。Objective:To investigate the risk factors of urinary system infection in elderly patients after transurethral resection of prostate(TURP).Method:A total of 105 elderly patients who received TURP treatment in Ganzhou People's Hospital from February 2022 to February 2023 were selected.Clinical data of the patients were collected and compared,and they were divided into infected group(n=26)and non-infected group(n=79)according to whether infection occurred.Multivariate logistic regression was used to analyze the risk factors of postoperative urinary system infection.Result:Among 105 elderly patients,a total of 26 cases(24.76%)developed urinary system infection after TURP.There were no significant differences in age,body mass index,history of hypertension,history of diabetes,history of hyperlipidemia,course of disease,intraoperative blood loss,intraoperative electrocoagulation times and drainage volume between the two groups(P>0.05).The proportion of detrusor functional instability,catheter blockage and international prostate symptom score(IPSS),catheter balloon water injection in the infected group were higher than those in the non-infected group,operation time and catheter indwelling time were longer than those in non-infected group,the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that detrusor function,operation time and catheter indwelling time were risk factors for urinary system infection after TURP in elderly patients(P<0.05).Conclusion:Detrusor function,operation time and catheter indwelling time are risk factors for urinary system infection in elderly patients after TURP.Targeted intervention should be strengthened to reduce the incidence of urinary system infection.

关 键 词：经尿道前列腺电切术 老年人 泌尿系统感染 危险因素 

分 类 号：R699.8[医药卫生—泌尿科学]