女性2型糖尿病患者合并无症状菌尿的临床特点及防治

The clinical characteristics and prevention of asymptomatic bacteriuria in women patients with type 2 diabetes

目的 探讨影响女性2型糖尿病患者合并无症状菌尿的临床特点及防治措施。方法 分析 300 例女性 2 型糖尿病患者(75例伴无症状菌尿,225例不伴有无症状菌尿)和100例正常对照组的临床特点。结果 女性 2 型糖尿病合并无症状菌尿的发病率为25%;与无症状菌尿有关的危险因素包括年龄、病程、血糖水平、高脂血症、糖尿病神经病变、大血管疾病等;糖尿病合并无症状菌尿的病原微生物主要以大肠埃希氏菌为主。结论 女性2型糖尿病患者合并无症状菌尿的发病率较高,可能是糖尿病慢性并发症的一个组成部分。

ObjectiveTo explore the clinical characteristics and prevention of asymptomatic bacteriuria in women patients with type 2 diabetes.MethodsThe data of 300 type 2 diabetes patients (75 with asymptomatic bacteriuria and 225 without asymptomatic bacteriuria), and 100 non diabetic controls were analyzed.ResultsThe incidence of asymptomatic bacteriuria in women patients with type 2 diabetes was 25%, and related risk factors included age, diabetes duration, level of serum glucose, hyperlipidia, diabetic neuropathy and macrovascular disease. The most frequent pathogenic agent was E. Coli.ConclusionAsymptomatic bacteriuria has a higher incidence rate in women patients with type 2 diabetes, and it maybe a part of chronic complication of diabetes. [