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目的探讨老年男性糖尿病合并尿路感染的临床特点及防治措施。方法对80例老年男性2型糖尿病合并尿路感染患者的病原菌及临床特点进行分析。结果老年男性糖尿病患者无症状尿路感染多见,且多有前列腺增生,合并尿路感染最常见的病原菌是大肠埃希菌、粪肠球菌、表皮葡萄球菌;有症状尿路感染组与无症状尿路感染组病原菌分布差异无统计学意义(P>0.05)。结论无症状尿路感染和前列腺增生是老年男性糖尿病患者的常见合并症,重视前列腺增生和无症状尿路感染的治疗,解除尿道梗阻、尿液反流等因素刺激有利于提高临床疗效。
Objective To investigate the clinical features and prevention and cure measures of diabetes in older men with urinary tract infection. Methods The pathogenic bacteria and clinical features of 80 elderly men with type 2 diabetes mellitus and urinary tract infection were analyzed. Results Asymptomatic urinary tract infection was more common in elderly men with diabetes mellitus, and many had benign prostatic hyperplasia. The most common pathogens in urinary tract infection were Escherichia coli, Enterococcus faecalis and Staphylococcus epidermidis. Symptom-related urinary tract infection was asymptomatic There was no significant difference in the distribution of pathogens in urinary tract infection group (P> 0.05). Conclusions Asymptomatic urinary tract infection and benign prostatic hyperplasia are common complication in elderly male patients with diabetes mellitus. Prostate hyperplasia and asymptomatic urinary tract infection are the most important complications of treatment. Urethral obstruction and urinary reflux may be helpful to improve clinical efficacy.