前列腺穿刺活检术后感染情况及危险因素的logistic回归分析结果  

Logistic Regression Analysis of Infection Its Risk Factors after Prostate Biopsy

作　　者：李智斌 郭民 杨建昌 LI Zhibin;GUO Min;YANG Jianchang(People's Hospital of Dali Bai Autonomous Prefecture,Dali 671000,China)

机构地区：[1]大理白族自治州人民医院,云南大理671000

出　　处：《中外医学研究》2025年第9期12-15,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析前列腺穿刺活检术后感染情况及危险因素的logistic回归分析结果。方法:选取2019年11月-2023年11月大理白族自治州人民医院收治的234例行经直肠前列腺穿刺活检术患者作为研究对象,根据患者是否使用预防性抗生素分为使用预防性抗生素组(n=123)和未使用预防性抗生素组(n=111)。统计术后2周两组发生感染情况,采用logistic回归分析影响前列腺穿刺活检术后感染的危险因素。结果:使用预防性抗生素组感染率明显低于未使用预防性抗生素组,差异有统计学意义(P<0.05)。两组体重指数(BMI)、是否合并糖尿病、是否术前留置尿管、是否存在穿刺炎症、是否存在肿瘤骨转移等方面经比较,差异有统计学意义(P<0.05)。logistic回归分析结果显示,合并糖尿病、术前留置尿管、存在肿瘤骨转移是影响经直肠前列腺穿刺活检术后发生感染的危险因素,差异有统计学意义(P<0.05)。结论:术前预防使用抗生素可在一定程度上降低经直肠前列腺穿刺活检术后感染发生风险,合并糖尿病、术前留置尿管、存在肿瘤骨转移是影响经直肠前列腺穿刺活检术后发生感染的危险因素。Objective:To analyze and logistic regression analysis of infection and risk factors after prostate biopsy.Method:A total of 234 patients with transrectal prostate biopsy admitted to People's Hospital of Dali Bai Autonomous Prefecture from November 2019 to November 2023 were selected as the study objects.The patients were divided into using routine antibiotic prophylaxis group(n=123)and no routine prophylaxis group(n=111)according to whether they used prophylactic antibiotics.The incidence of infection in the two groups 2 weeks after surgery was analyzed by logistic regression.The risk factors of infection after prostate biopsy were analyzed.Result:The infection rate in the group using prophylactic antibiotics was significantly lower than that in the group without prophylactic antibiotics,and the difference was statistically significant(P<0.05).There were significant differences in body mass index(BMI),diabetes mellitus,catheter indentation before surgery,puncture inflammation and tumor bone metastasis between the two groups(P<0.05).Logistic regression analysis showed that diabetes mellitus,catheter indentation before surgery,and tumor bone metastasis were the risk factors for infection after transrectal prostate biopsy,and the difference was statistically significant(P<0.05).Conclusion:Preoperative prophylactic use of antibiotics can reduce the risk of infection after transrectal prostate biopsy to a certain extent.Diabetes mellitus,catheter indwelling before surgery,and tumor bone metastasis are risk factors for infection after transrectal prostate biopsy.

关 键 词：前列腺穿刺活检术 术后感染 危险因素 

分 类 号：R699[医药卫生—泌尿科学] R737.25[医药卫生—外科学]