社区糖尿病患者继发真菌性感染的相关危险因素分析

Analysis on the related factors affecting the fungal infections in hospitalized patients with diabetes mellitus.

目的探讨影响社区糖尿病患者继发真菌性感染的相关危险因素,为糖尿病患者真菌性感染的防治提供依据。方法分析我社区2009年12月至2011年12月收集经上级医院确诊并回到社区治疗的62例糖尿病患者的临床资料,统计分析其性别、年龄、糖尿病病程、体重指数、糖尿病类型、视网膜病变、末梢神经受损、高血压、周围血管情况等因素对患者并发真菌性感染的影响程度;同时分析其主要感染部位。结果周围血管损伤是影响社区糖尿病患者发生真菌性感染的相关因素(P<0.05),而血酮体、糖尿病病程、糖尿病类型、年龄、性别等与社区糖尿病患者真菌性感染无明显相关关系;糖尿病真菌感染以皮肤软组织感染为主要感染部位(45.16%)。结论社区糖尿病患者真菌性感染受到多种因素影响,但周围血管损伤是主要的相关危险因素。

Objective To investigate the influence factors of fungal infections in hospitalized patients with diabetes mellitus, and to provide reference for fungal infection. Methods The clinical data of 62 hospitalized pa- tients with diabetes mellitus from December 2009 to December 2011 were summarized. The influences of factors, such as age, gender, body mass index （BMI）, duration of diabetes, type of diabetes, the value of lycosylated hemoglo- bin （HbAt,）, blood ketobodies, retinopathy, peripheral neuropathy, nephropathy, hypertension, on the fimgal infections were statistically analyzed. The main site of infection was also analyzed. Results Fungal infections was correlated with disturbance of peripheral circulation （P〈0.05）, but not with age, gender, blood ketobodies, duration of diabetes, type of diabetes. The fungus infection took place more frequently in skin soft tissue （45.16%）. Conclusion The main risk factor for fungal infections in the hospitalized patients with diabetics is the disturbance of peripheral ckculation.