经直肠超声引导下前列腺穿刺活检术后全身炎症反应综合征的影响因素

Influencing factors of systemic inflammatory response syndrome after transrectal ultrasound guided prostate biopsy

目的研究经直肠超声引导下前列腺穿刺活检术后全身炎症反应综合征的影响因素。方法选取2016年10月至2018年10月本院收治的110例经直肠超声引导下实施前列腺穿刺活检术的患者作为研究对象。分析前列腺穿刺活检术后全身炎症反应综合征可能相关的因素,使用单因素分析方法研究9个因素与前列腺穿刺活检术后全身炎症反应综合征的关系,再使用多因素Logistic回归分析方法明确危险因素。结果110例患者中有8例发生术后全身炎症反应综合征,感染发生率为7.27%,通过单因素分析以及多因素Logistic回归分析方法明确尿路感染、慢性细菌性前列腺炎、糖尿病、APACHEⅡ评分、前列腺体积以及既往脑血管意外6项危险因素。结论针对经直肠超声引导下前列腺穿刺活检术后全身炎症反应综合征的6项危险因素,可从整个手术期对患者进行综合治疗与护理,提升患者的身体机能与抗感染能力,降低术后全身炎症反应综合征发生的概率。

Objective To study the risk factors of systemic inflammatory response syndrome after transrectal ultrasound-guided prostate biopsy.Methods In this study,110 patients treated with transrectal ultrasound guided prostate biopsy in our hospital were selected as the subjects from October 2016 to October 2018.The possible factors related to the systemic inflammatory response syndrome after prostate biopsy were analyzed,and 9 factors were studied by single factor analysis.The relationship between systemic inflammatory response syndrome after prostate biopsy was analyzed,and risk factors were identified by multivariate Logistic regression analysis.Results 8 of the 110 patients had postoperative systemic inflammatory response syndrome,the incidence of infection was 7.27%.Through single factor analysis and multiple factor Logistic regression analysis,six risk factors for urinary tract infection,chronic bacterial prostatitis,diabetes,APACHE II score,prostate volume,and cerebrovascular accident were identified.Conclusion The six risk factors for systemic inflammatory response syndrome after transrectal ultrasound guided prostate biopsy should be treated and nursing from the whole operation period to improve the body function and anti infection ability of the patients,and reduce the incidence of postoperative systemic inflammatory response syndrome.