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目的:探讨糖尿病肾病(DN)尿毒症患者尿路感染的危险因素,总结行之有效的预防措施。方法:收集2013年7月～2015年9月我院收治的128例DN尿毒症患者的临床资料,回顾性分析尿路感染与非尿路感染患者的相关指标,进行单因素与多因素logistic回归分析,总结尿路感染危险因素。结果:被调查的128例DN尿毒症患者中,有35例(27.3%)患者合并尿路感染,单因素分析发现尿路感染的危险因素包括性别、年龄、糖尿病病程、空腹血糖、血红蛋白、住院时间、留置导尿管、应用抗菌药物,多因素logistic回归分析显示尿路感染的独立危险因素为年龄>55岁、性别女与留置导尿管。结论:DN尿毒症患者发生尿路感染的危险因素较多,对高危人群需加强监控,采取相应措施降低尿路感染率。
Objective: To investigate the risk factors of urinary tract infection in patients with diabetic nephropathy (DN) and to summarize the effective preventive measures. Methods: The clinical data of 128 patients with DN uremia admitted in our hospital from July 2013 to September 2015 were retrospectively analyzed. Relevant indexes of patients with urinary tract infection and non-urinary tract infection were retrospectively analyzed. Univariate and multivariate logistic regression Analysis, summarize the risk factors of urinary tract infection. Results: Of the 128 patients with DN uremia, 35 patients (27.3%) had urinary tract infection. Univariate analysis showed that the risk factors of urinary tract infection included gender, age, duration of diabetes, fasting blood glucose, hemoglobin, hospitalization Time, indwelling catheter, application of antimicrobial agents, multivariate logistic regression analysis showed that the independent risk factors for urinary tract infection were age> 55 years, sex and indwelling catheter. Conclusion: There are many risk factors for urinary tract infection in patients with DN uremia, and the surveillance should be strengthened for the high risk population and corresponding measures should be taken to reduce the urinary tract infection rate.