老年2型糖尿病患者尿路感染临床特点分析

Clinical characteristics of urinary tract infections in elderly patients with type 2 diabetes

目的探讨老年2型糖尿病患者尿路感染临床特点和血糖控制情况,以降低尿路感染率。方法选取2013年7月-2014年6月医院接受治疗的50例老年2型糖尿病合并尿路感染患者为观察组,选取同期接受治疗的50例老年2型糖尿病无尿路感染患者为对照组,记录两组患者入院时血糖及糖化血红蛋白水平等各项生化指标,了解患者糖尿病病程及并发症,数据采用SPSS 19.0统计软件进行分析。结果观察组患者感染病原菌主要为革兰阴性菌,其中大肠埃希菌最多占60.00%;患者空腹血糖、餐后2h血糖、糖化血红蛋白、甘油三酯、尿素氮水平均明显高于对照组患者,差异有统计学意义(P<0.05);观察组患者并发症发生率22.00%、对照组患者为4.00%,观察组患者并发症发生率明显高于对照组,差异有统计学意义(P<0.05);观察组糖尿病病程、治疗时间均明显长于对照组,差异均有统计学意义(P<0.05);观察组患者治疗后血糖达标率为94.00%,对照组为98.00%,两组血糖达标率比较差异无统计学意义。结论老年2型糖尿病尿路感染患者各项生化指标均明显升高,且并发症发生率较高,及时采取有效措施对血糖控制至关重要。

OBJECTIVE To explore the clinical characteristics of urinary tract infections in elderly patients with type2 diabetes and analyze the control of blood glucose so as to reduce the incidence of urinary tract infections.METHODS Totally 50 elderly type 2diabetes patients with urinary tract infections who were treated in the hospital from Jul 2013 to Jun 2014 were chosen as the observation group,meanwhile,50 elderly type 2diabetes patients without urinary tract infections were set as the control group.The levels of the biochemical indexes such as blood glucose and glycosylated hemoglobin were recorded at the admission to the hospital,the course of diabetic mellitus and complications were observed,and the statistical analysis of data was performed with the use of SPSS 19.0software.RESULTS The gram-negative bacteria were dominant among the pathogens causing the infections in the observation group,of which 60.00% were Escherichia coli.The levels of fasting blood glucose,2hpostprandial blood glucose,glycosylated hemoglobin,triglyceride,and urea nitrogen were significantly higher in the observation group than in the control group（P〈0.05）.The incidence of complications of the observation group was 22.00%,significantly higher than 4.00% of the control group（P〈0.05）.The course of diabetic mellitus and treatment time of the observation group were significantly longer than those of the control group（P〈0.05）.The rate of blood glucose′s reaching the standard was 94.00%in the observation group after the treatment,98.00%in the control group,and there was no significant difference.CONCLUSION The levels of biochemical indexes are remarkably elevated in the elderly type 2diabetes patients with urinary tract infections,and the incidence of complications is high;it is crucial to take effective measures so as to control the blood glucose.