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目的探讨腰椎脊髓损伤患者康复期医院尿路感染的相关危险因素,对患者康复期治疗及尿路感染的预防起到一定指导作用。方法回顾性分析2012年6月-2013年6月62例腰椎脊髓损伤住院患者的临床资料,选择可能导致尿路感染的因素,比较尿路感染发生率,单因素分析影响尿路感染发生的相关因素,多因素logistic回归分析影响尿路感染发生的独立危险因素。结果脊髓损伤患者发生尿路感染27例,感染率为43.5%;脊髓损伤程度、尿管留置时间、膀胱冲洗频率、尿路感染前抗菌药物使用、有低蛋白血症是影响脊髓损伤住院患者康复期尿路感染的危险因素;脊髓损伤程度、尿管留置时间和尿路感染前使用抗菌药物是影响脊髓损伤住院患者康复期尿路感染发生的独立危险因素。结论采取相应的预防措施,可有效地减少患者尿路感染的发生率,提高患者康复期间的治疗效果。
Objective To investigate the related risk factors of urinary tract infection in convalescent patients during lumbar spinal cord injury and to guide the treatment of patients during convalescent period and the prevention of urinary tract infection. Methods The clinical data of 62 hospitalized patients with lumbar spinal cord injury from June 2012 to June 2013 were retrospectively analyzed. The factors that may lead to urinary tract infection were selected. The incidence of urinary tract infection was compared. The incidence of urinary tract infection was analyzed by univariate analysis Factors, multivariate logistic regression analysis of independent risk factors affecting the occurrence of urinary tract infection. Results The incidence of urinary tract infection in 27 patients with spinal cord injury was 43.5%. The degree of spinal cord injury, urinary catheter indwelling time, frequency of bladder irrigation, use of antibiotics before urinary tract infection and hypoalbuminemia were the effects of rehabilitation of hospitalized patients with spinal cord injury The risk factors of periodontal urinary tract infection; the degree of spinal cord injury, catheter indwelling time and the use of antibacterials before urinary tract infection were independent risk factors of urinary tract infection in convalescent patients with spinal cord injury. Conclusion The corresponding preventive measures can effectively reduce the incidence of urinary tract infection in patients and improve the therapeutic effect during rehabilitation.