老年2型糖尿病患者尿路感染的危险因素分析

Risk factors for urinary tract infections in elderly patients with type 2diabetes

目的探讨老年2型糖尿病患者尿路感染的危险因素,并予以相对应的措施进行防治,以期提高临床治疗水平。方法随机选取2011年2月-2013年3月135例老年2型糖尿病患者为研究对象,对其中47例尿路感染患者进行危险因素分析;数据采用SPSS13.0软件进行分析。结果经logistic单因素和多因素分析,老年2型糖尿病合并尿路感染的独立危险因素有:低蛋白血症(P=0.016)、高龄(>70岁)(P=0.073)、高血糖(P=0.028)、高糖化血红蛋白(>7%)(P=0.027)、留置导尿(P=0.031)、伴有其他系统感染(P=0.032),与患者的性别、抗菌药物使用、体质量指数等无关(P>0.05),病原菌以革兰阴性菌为主。结论积极控制血糖、加强营养等措施可降低老年2型糖尿病合并尿路感染的发生。

OBJECTIVE To explore the risk factors for urinary tract infections in the elderly patients with type 2diabetes and put forward corresponding prevention measures so as to improve the clinical treatment.METHODS A total of 135elderly patients with type 2diabetes who were treated in the hospital from Feb 2011to Mar 2013were recruited in the study,then the risk factors for urinary tract infections in 47patients were analyzed,and the statistical analysis was performed with the use of SPSS13.0software.RESULTS The univariate logistic analysis and the multivariate analysis showed that the independent risk factors for urinary tract infections in the elderly patients with type 2diabetes included the hypoalbuminemia（P=0.016）,advanced age（more than 70years old））（P=0.073）,high-glucose（P=0.028）,high glycated hemoglobin（more than 7%）（P=0.027）,indwelling catheter（P=0.031）,and complication of other infections（P=0.032）,however,the incidence of the urinary tract infections was not associated with the gender,use of antibiotics,or body mass index（P〉0.05）.The gram-negative bacteria were the predominant pathogens.CONCLUSIONIt is an effective way to actively control the blood glucose and strengthen the nutrition so as to reduce the incidence of complication of urinary tract infections in the elderly patients with type 2 diabetes.