老年男性膀胱造瘘患者长期留置尿管的感染因素

发布时间：2018-07-08 14:33

本文选题：膀胱造瘘 + 留置尿管　；参考：《中国老年学杂志》2017年17期

【摘要】：目的探讨老年男性患者膀胱造瘘后长期留置尿管发生感染的相关危险因素。方法采用回顾性研究方法共纳入120例该院行膀胱造瘘后长期留置尿管的老年男性患者,入院后详细记录其基本信息及相关病史,如发生泌尿系感染为感染组,未感染为非感染组,采用多因素回归分析对发生感染的相关危险因素进行多因素分析。结果有20例(16.7%)发生泌尿系感染,共分离出24株病原菌,其中18株(75.0%)为革兰阴性杆菌,4株(16.7%)为革兰阳性球菌,2株(8.3%)为真菌,致病菌中以大肠埃希菌最多见,其次为表皮葡萄球菌等。两组留置尿管时间≥7 d、有糖尿病史、有抗生素使用、每日尿量、白蛋白水平、低密度脂蛋白水平、空腹血糖水平差异有统计学意义(P0.05);多因素分析显示留置尿管时间≥7 d、糖尿病史、每日尿量少、白蛋白水平低下是膀胱造瘘后长期留置尿管感染发生的独立危险(P0.05)。结论膀胱造瘘后长期留置尿管感染发生与留置尿管时间≥7d、糖尿病史、每日尿量少、白蛋白水平低下存在密切相关性,临床工作中要对上述危险因素加以控制及干预,从而降低感染率。
[Abstract]:Objective to investigate the related risk factors of chronic urinary catheter infection after cystostomy in elderly male patients. Methods 120 elderly male patients with long indwelling urinary catheter after cystostomy were included in the retrospective study method, and the basic information and related history of urinary tract infection were recorded in detail, such as urinary infection as infection group. Multiple factor regression analysis was used to analyze the risk factors associated with infection in uninfected group. Results 20 cases (16.7%) had urinary tract infection and 24 pathogenic bacteria were isolated, of which 18 (75%) were gram-negative bacilli, 4 (16.7%) was gram-positive, 2 (8.3%) was fungi, and Escherichia coli was in pathogenic bacteria. The two groups had a history of indwelling urinary catheter more than 7 d, diabetes history, diabetes history, antibiotics use, daily urine, albumin level, low density lipoprotein level, and fasting blood glucose level difference (P0.05); multiple factor analysis showed that the indwelling catheter time was more than 7 d, diabetes history, daily urine less, white egg, white eggs Conclusion the low level of white is an independent risk (P0.05) for the long-term indwelling catheter infection after bladder fistula. Conclusion there is a close correlation between the long-term indwelling catheter infection after urinary bladder fistula and the time of indwelling urethral catheterization more than 7d, diabetes history, low daily urine volume and low albumin level. In clinical work, the above risk factors should be controlled and intervened in clinical work. Thus the infection rate is reduced.
【作者单位】：遵义医药高等专科学校;遵义医学院附属医院;赤水市人民医院;
【基金】：贵州省科技厅课题(黔科合LH字[2015]7575号)
【分类号】：R473.6

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