糖尿病患者并发感染68例临床流行病学分析

The Analysis of Clinical Epidemicology of Infections Occured with Diabetes Mellitus in 68 Patients

目的:探讨糖尿病并发感染类型及高危因素。方法:回顾性收集本院两年来住院糖尿病240例,其中并发感染68例,用流行病学方法结合临床分析。结果:糖尿病并发感染前4位为泌尿系感染、皮肤化脓性感染、肺结核、真菌性阴道炎。感染发生率有一定的流行病学分布特征,与糖尿病的病程、体重指数密切相关,与糖尿病的病型、入院空腹血糖浓度无明确关系。结论:糖尿病易并发感染,其并发感染的高危因素:病程≥5年、年龄≥60岁、BMI≥25、中小学及以下文化程度者、体力劳动者、乡村病员。提示临床工作者在诊治、随访糖尿病时,应重视其并发感染的可能性,做好三级预防,以促进病人早日康复,提高其生存质量。

Objective:To study the types and high risk factors of the infections occured with diabetes mellitus. Methods:240 cases of diabetes mellitus in our hospital in 2 years were collected. Among them 68 cases complicated with infections were analysed epidemi-ologically and clinically.Results;The first four places of the infections occured with diabetes mellitus were unrinary tract infection, skin purulent infection, pulmonary tubrculosis and fungal vaginitis. The occurrence rate of infections showed certain distributed feature of epidemicology and was closely related to the disease course and BMI of diabetes mellitus, had no certain relation to the disease type and FPG of in-patient. Conclusion:The patients with diabetes mellitus are easy to be complicated by other infections, the high risk factors of it are:disease course ≥ 5 years,age≥60, BMI≥25,patients' educational level is under middle,primary school, physical workoers, rural patients. It s advised that doctors should pay more attention to the probability of the infection of the diabetes mellitus and to the three-step prevention work in diagnosing, treating and visiting the patients of diabetes mellitus in order to make patients restore to health and improve their living quality.