激光前列腺切除术后尿路感染的危险因素分析

发布时间：2018-03-05 05:23

本文选题：前列腺增生　切入点：前列腺切除术　出处：《中华医院感染学杂志》2015年15期 　论文类型：期刊论文

【摘要】：目的探讨经过尿道利用2μm激光进行前列腺切除术后的尿路感染的临床特点以及感染的原因分析,为降低前列腺切除术后发生的尿路感染提供参考依据。方法选取2011年8月-2013年8月250例前列腺增生需行2μm激光前列腺切除术的患者进行试验研究,术后第4天采集患者的尿液进行病原菌培养,将试验所得的尿路感染发生率进行对比分析,数据采用SPSS 14.0软件进行统计分析。结果 250例患者术后有55例患者发生感染,感染率为22.0%;共检出57株病原菌,以革兰阴性菌为主,共31株占54.4%;logistic回归分析结果显示,年龄≥65岁、导尿管的留置时间≥3d、合并有糖尿病等及出现引流不佳是术后尿路感染的独立危险因素(P0.05)。结论经尿道2μm激光进行前列腺切除术后,虽然预防性的应用抗菌药物,但是尿路感染的发生率仍然较高,应采取相应措施加以控制。
[Abstract]:Objective to investigate the clinical features and causes of urinary tract infection after transurethral resection of prostate with 2 渭 m laser. Methods from August 2011 to August 2013, 250 patients with benign prostatic hyperplasia underwent 2 渭 m laser prostatectomy. On the 4th day after operation, the urine samples were collected for pathogen culture, and the incidence of urinary tract infection was compared and analyzed. The data were statistically analyzed by SPSS software 14.0. Results 55 patients were infected after operation. The infection rate was 22.00.A total of 57 pathogenic bacteria were detected, mainly Gram-negative bacteria, 31 of which accounted for 54.4% of the total. Logistic regression analysis showed that the age was more than 65 years old. The indwelling time of urethral catheter was more than 3 days, the complications of diabetes mellitus and poor drainage were the independent risk factors of postoperative urinary tract infection (P 0.05). Conclusion after transurethral 2 渭 m laser prostatectomy, although prophylactic use of antimicrobial agents, However, the incidence of urinary tract infection is still high, and measures should be taken to control it.
【作者单位】：襄阳市第一人民医院;湖北医药学院附属襄阳医院泌尿外科;襄阳市第三人民医院;
【基金】：湖北省自然科学基金资助项目(71128312)
【分类号】：R699.8

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