脊髓损伤患者康复期并发泌尿系统感染的相关危险因素分析

Risk factors of urinary tract infection in patients with spinal cord injury during rehabilitation

目的:分析脊髓损伤(SCI)患者康复期发生泌尿系统感染(UTI)的相关危险因素。方法:回顾性分析2019年3月至2022年4月我院收治的82例SCI患者资料,均在本院完成康复治疗,将患者分为UTI发生组、未发生组;采用Logistic回归分析SCI患者康复期发生UTI的相关危险因素。结果:82例SCI患者中,有34例患者康复期发生UTI,发生率为41.46%。UTI发生组损伤程度为完全性损伤、有侵入性操作、导尿管留置时间≥15 d占比高于未发生组,病程长于未发生组(P<0.05);Logistic回归分析结果显示,完全性损伤、有侵入性操作、导尿管留置时间≥15 d、病程长均为SCI患者康复期发生UTI的相关危险因素(OR分别为3.718、3.033、3.469、3.517,95%CI分别为1.147~12.047、1.121~8.212、1.377~8.741、2.046~6.044,P<0.05)。结论:SCI患者康复期发生UTI可能受损伤程度、侵入性操作、导管尿留置时间及病程等因素影响。

Objective:To analyze the risk factors of urinary tract infection(UTI)in patients with spinal cord injury(SCI)during rehabilitation.Methods:Data of 82 patients with SCI admitted to our hospital from Mar 2019 to Apr 2022 were retrospectively analyzed,all of whom completed rehabilitation treatment in our hospital.The occurrence of UTI was recorded and patients were divided into occurrence and non-occurrence groups.The risk factors of UTI during the rehabilitation period of SCI patients were analyzed by logistic regression.Results:A total of 34 cases(41.46%)of 82 SCI patients developed UTI during rehabilitation.The proportion of complete injury,invasive operation and indwelling catheter time≥15 d in the occurrence group was higher than that in the non-occurrence group,and the course of disease was longer than that in the non-occurrence group(P<0.05).Logistic regression analysis showed that complete injury(OR=3.718,95%CI:1.147-12.047),invasive operation(OR=3.033,95%CI:1.121-8.212),indwelling catheter time≥15 d(OR=3.469,95%CI:1.377-8.741),and long course of disease(OR=3.517,95%CI:2.046-6.044)were risk factors for UTI in SCI patients during rehabilitation(P<0.05).Conclusion:UTI in SCI patients may be affected by the degree of injury,invasive operation,urination time of indwelling catheter and course of disease.