脊髓损伤康复期患者泌尿系统感染影响因素的调查

Investigation of influencing factors of urinary tract infection in patients with spinal cord injury duringrehabilitation

目的探讨脊髓损伤康复期患者泌尿系统感染的影响因素，为最大限度降低泌尿系统感染提供依据。方法回顾性分析解放军总医院第一附属医院2013年1月-2015年12月收治的503例脊髓损伤康复期患者泌尿系统感染发生情况，采用Logistic回归分析影响脊髓损伤康复期患者泌尿系统感染的因素。结果损伤程度、损伤部位、排尿方式、病程是脊髓损伤康复期患者是否发生泌尿系统感染的影响因素（P〈0．05）。结论损伤程度、损伤部位、排尿方式、病程是脊髓损伤康复期患者是否发生泌尿系统感染的影响因素，随着病程的推移，需根据脊髓损伤患者的膀胱功能情况，选择间歇导尿作为排尿方式。

Objective To explore the influencing factors of urinary tract infection in patients with spinal cord injury in rehabilitation period, so as to provide the basis to minimize urinary tract infection.Methods The patients＇ information and the incidence of urinary tract infection （UTI） during the rehabilitation period of 503 cases of spinal cord injury admitted to the First Affiliated Hospital of PLA General Hospital from January 2013 to December 2015 were retrospectively analyzed. Logistic regression analysis was used to analyze the influencing factors of UTI in patients with spinal cord injury during rehabilitation period. Results The degree of injury, the site of injury, the way of urination, and the course of the disease were the factors affecting the incidence of UTI in the patients with spinal cord injury during the rehabilitation period （P 〈 0.05）. Conclusions The degree of injury, the location of injury, the way of micturition and the duration of disease are the influeneing factors of UTI in patients with spinal cord injury during rehabilitation. As the course of disease goes on, we need to choose intermittent catheterization as a way of micturition aceording to the bladder function of patients with spinal cord injury.