子宫肌瘤术后患者发生泌尿系统感染的影响因素  

Influencing factors of urinary tract infection in patients after uterine fibroids surgeries

作　　者：李晓燕 LI Xiaoyan(Department of Clinical Laboratory of Puyang People’s Hospital,Puyang 457000 Henan,China)

机构地区：[1]濮阳市人民医院检验科,河南濮阳457000

出　　处：《中国民康医学》2025年第5期14-17,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析子宫肌瘤术后患者发生泌尿系统感染的影响因素。方法:选取2020年12月至2023年12月该院收治的422例子宫肌瘤术后患者进行横断面研究,收集患者临床资料,统计泌尿系统感染发生情况,根据是否发生泌尿系统感染将其分为发生组与未发生组。采用Logistic回归分析子宫肌瘤术后患者发生泌尿系统感染的影响因素。结果:422例子宫肌瘤术后患者中,发生泌尿系统感染93例,发生率为22.04%(93/422);两组吸烟史、饮酒史、术式、子宫肌瘤分型、合并高血压、子宫肌瘤直径、术中出血量比较,差异均无统计学意义(P>0.05);发生组年龄≥40岁、术前留置导尿管、合并糖尿病、手术时间≥60 min、住院时间≥10 d、术后并发尿潴留占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄≥40岁、合并糖尿病、手术时间≥60 min、住院时间≥10 d、术后并发尿潴留均为子宫肌瘤术后患者发生泌尿系统感染的危险因素(OR>1,P<0.05)。结论:年龄≥40岁、合并糖尿病、手术时间≥60 min、住院时间≥10 d、术后并发尿潴留均为子宫肌瘤术后患者发生泌尿系统感染的危险因素。Objective:To analyze influencing factors of urinary tract infection in patients after uterine fibroids surgeries.Methods:A cross-sectional study was conducted on 422 patients with uterine fibroids who underwent surgical treatment in this hospital from December 2020 to December 2023.The clinical data of these patients were collected.The incidence of urinary tract infection was statistically analyzed.According to whether urinary tract infection occurred,they were divided into occurrence group and non-occurrence group.Logistic regression was used to analyze the influencing factors of urinary tract infection in the patients after uterine fibroids surgeries.Results:Among the 422 patients with uterine fibroids,93 cases of urinary tract infection occurred,with an incidence of 22.04%(93/422).There were no significant differences in smoking history,drinking history,surgical method,uterine fibroids classification,hypertension,uterine fibroids diameter,and intraoperative blood loss between the two groups(P>0.05).The proportion of the patients with age≥40 years old,preoperative indwelling catheter,combined diabetes mellitus,operation time≥60 min,hospitalization time≥10 d and postoperative urinary retention in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age≥40 years old,combined diabetes mellitus,operation time≥60 min,hospitalization time≥10 d and postoperative urinary retention were risk factors for urinary tract infection in the patients after uterine fibroids surgeries(OR>1,P<0.05).Conclusions:Age≥40 years old,combined diabetes mellitus,operation time≥60 min,hospitalization time≥10 d,and postoperative urinary retention are the risk factors for urinary tract infection in the patients after uterine fibroids surgeries.

关 键 词：子宫肌瘤 术后 泌尿系统感染 影响因素 

分 类 号：R711.74[医药卫生—妇产科学]