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目的:探讨肾移植术后女性尿路感染(UTI)的相关影响因素。方法:调查2012年1月~2012年12月在上海长征医院肾移植康复病房收治的肾移植术后UTI女性患者60例,依据年龄段分为低年组和高年组,比较两组患者UTI的临床资料,分析其临床特点,并探讨相关影响因素。结果:78.33%(47/60)患者至少出现UTI1例次;51.67%(31/60)患者UTI临床症状不典型;38.33%(23/60)患者尿标本以大肠埃希菌感染为主,但36.67%(22/60)患者却难以找到致病菌。其中高年组(占78.33%,47/60)比低年组(占21.67%,13/60)UTI发生率高,差异有统计学意义(P<0.05)。进一步分析发现,在高年组UTI中,糖尿病和移植肾失功发生率均高于低年组患者(P<0.05)。结论:年龄、糖尿病是肾移植术后女性UTI的重要影响因素,高年组UTI患者易增加移植肾失功的风险。
Objective: To investigate the related factors of female urinary tract infection (UTI) after renal transplantation. Methods: From January 2012 to December 2012, 60 UTI female patients after renal transplantation were enrolled in the Renal Transplant Rehabilitation Ward of Shanghai Changzheng Hospital from January 2012 to December 2012. The patients were divided into the low-grade group and the high-grade group according to the age group. The UTI Clinical data, analyze its clinical features, and explore the relevant factors. Results: 78.33% (47/60) patients showed at least 1 case of UTI; 51.67% (31/60) patients had atypical UTI clinical symptoms; 38.33% (23/60) patients had Escherichia coli infection, 36.67% (22/60) patients found it hard to find pathogens. The incidence of UTI was higher in the advanced age group (78.33%, 47/60) than in the lower age group (21.67%, 13/60), with significant difference (P <0.05). Further analysis found that in the high-grade UTI group, the incidence of diabetes and renal allograft were higher than those in the lower-grade group (P <0.05). Conclusion: Age and diabetes are the important factors affecting the female UTI after renal transplantation. The UTI patients in the elderly group are likely to increase the risk of renal graft failure.