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目的探讨经尿道前列腺电切术术后发生尿路感染的相关危险因素。方法选取固原市原州区人民医院2012年5月—2015年5月收治的良性前列腺增生行经尿道前列腺电切术患者291例,对其一般资料进行回顾性研究,总结与分析术后发生尿路感染的相关危险因素。结果 291例接受经尿道前列腺电切手术患者术后发生尿路感染43例(14.78%);导致患者发生术后感染的主要单因素包括术前因尿潴留行导尿术、术前未预防性使用抗感染药物、合并糖尿病、高龄、术后长期留置尿管、初学术者等。多因素Logistic回归分析结果显示,发生尿路感染的危险因素包括术前糖尿病、术前因尿潴留行导尿术、术后长期留置尿管。结论术前因尿潴留行导尿术、合并糖尿病、术后长期留置尿管可增加经尿道前列腺电切术后尿路感染率,而术前预防性使用抗感染药物能够减少术后尿路感染的发生,为保护因素。
Objective To investigate the related risk factors of urinary tract infection after transurethral resection of prostate. Methods A total of 291 patients with benign prostatic hyperplasia who underwent transurethral resection of prostatectomy were selected from Yuanzhou People’s Hospital of Guyuan City from May 2012 to May 2015. The general data were retrospectively analyzed and the urinary tract infection Related risk factors. Results Of the 291 cases, urinary tract infection occurred in 43 patients (14.78%) after transurethral resection of prostatectomy. The main single factors that led to postoperative infection in patients included preoperative urethral catheterization, preoperative non-prophylactic Use of anti-infectives, diabetes mellitus, advanced age, postoperative long-term indwelling catheters, beginners and others. Multivariate logistic regression analysis showed that the risk factors of urinary tract infection included preoperative diabetes, catheterization due to urinary retention preoperatively, and permanent catheterization after surgery. Conclusions Preoperative urethral catheterization, diabetes mellitus, postoperative long-term indwelling urethral catheter can increase the rate of urinary tract infection after transurethral resection of prostate, and preoperative prophylactic use of anti-infectives can reduce postoperative urinary tract infection The occurrence of, for the protection of factors.