社区老年2型糖尿病患者尿路感染的影响因素分析

发布时间：2018-02-01 10:21

本文关键词： 糖尿病型尿路感染糖尿病视网膜病变糖尿病肾病糖尿病性周围神经病变糖尿病下肢动脉粥样硬化性病变　出处：《中国全科医学》2017年S2期 　论文类型：期刊论文

【摘要】：目的探讨社区老年2型糖尿病(T2DM)患者尿路感染的影响因素。方法选取2014年8月—2015年8月于上海市奉贤区中心医院收治的老年T2DM患者563例,根据有无尿路感染分为感染组(n=51)和未感染组(n=512)。测定比较两组患者性别、年龄、糖尿病病程、体质指数(BMI)、腰围、臀围、收缩压、舒张压、空腹血糖(FPG)、糖化血红蛋白(HbA_(1c))及糖尿病周围神经病变(DPN)、糖尿病肾病(DN)、糖尿病视网膜病变(DR)、糖尿病下肢动脉粥样硬化性病变(LEAD),并分析社区老年T2DM患者尿路感染的影响因素。结果两组患者年龄、糖尿病病程、BMI、腰围、臀围、收缩压、舒张压、FPG、HbA_(1c)及DPN、DN、LEAD所占比例比较,差异无统计学意义(P0.05);感染组患者女性、DR所占比例高于未感染组(P0.05)。经多因素Logistic回归分析结果显示,女性[OR=4.032,95%CI(1.860,9.626)]、DR[OR=2.564,95%CI(1.284,5.076)]是影响T2DM患者尿路感染的独立危险因素(P0.05)。结论女性、DR是老年T2DM患者尿路感染的独立危险因素,DR可作为T2DM患者尿路感染的预测因素。
[Abstract]:Objective to explore T2DM in elderly patients with type 2 diabetes mellitus in community. Methods 563 elderly patients with T2DM were selected from August 2014 to August 2015 in Fengxian District Central Hospital of Shanghai. Sex, age, diabetes course, BMI, waist circumference and hip circumference were measured and compared between the two groups according to urinary tract infection (n = 51) and no infection group (n = 512). The patients were divided into two groups: sex, age, course of diabetes, body mass index (BMI), hip circumference (hip circumference) and waist circumference (waist circumference). Systolic blood pressure, diastolic blood pressure, fasting blood glucose (FPGN), HbA1C (HbA-1) and diabetic peripheral neuropathy (DPN), diabetic nephropathy (DN). Diabetic retinopathy, diabetic lower extremity atherosclerotic lesions, and analysis of the community elderly T2DM patients with urinary tract infection factors. Results the age of the two groups. Comparison of BMI, waist circumference, hip circumference, systolic blood pressure, diastolic blood pressure (FPGG) and DPNDNNL-LEAD in the course of diabetes mellitus. The difference was not statistically significant (P 0.05). The percentage of female Dr in the infected group was higher than that in the uninfected group (P0.050.The results of multivariate Logistic regression analysis showed that female patients had a higher incidence of Dr). [ORO 4.032 / 95 CIQ 1.860 / 9.626) / Dr. [ORA 2.564 ~ 95CII 1.2845.076] is an independent risk factor for urinary tract infection in patients with T2DM. Dr is an independent risk factor for urinary tract infection in elderly patients with T2DM. Dr may be a predictor of urinary tract infection in T2DM patients.
【作者单位】：上海市奉贤区中心医院内分泌代谢科;上海市奉贤区齐贤社区卫生服务中心;上海市奉贤区西渡社区卫生服务中心;上海市奉贤区青村镇社区卫生服务中心;
【基金】：上海市科学技术委员会医学引导项目(134119b2500) 上海申康医院发展中心(SHDC12012302)
【分类号】：R587.2;R691.3
【正文快照】： 目前,2型糖尿病(type 2 diabetes mellitus,T2DM)是威其他原因引起的神经病变后,DPN诊断成立。(5)DN根据尿胁人类生命健康的主要慢性疾病之一,近年来,其患病率呈逐清蛋白/肌酐比值(ACR)进行诊断,正常人体ACR30 mg/年上升趋势[1]。T2DM慢性并发症给患者及其家庭带来沉重的g,尿

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