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泌尿系统结石患者并发尿路感染的危险因素分析

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目的 探究泌尿系统结石患者并发尿路感染的危险因素.方法 回顾性选取2022年1-12月惠州市中心人民医院收治的1 279例的泌尿系统结石患者的临床资料,按照是否合并尿路感染分成感染组(356例)和未感染组(923例).对比两组患者的临床资料,使用多因素Logistic回归分析明确导致并发尿路感染的危险因素.结果 感染组患者在结石位置、结石直径、血肌酐、尿素氮、白细胞计数、尿酸碱度、尿路梗阻、肾积水上与未感染组患者比较,差异有统计学意义(P均<0.05).多因素Logistic回归分析结果显示,上尿路结石、尿素氮≥7.15 mmol/L、白细胞计数≥10.0×109个/L、尿酸碱度≥7.0、合并尿路梗阻和肾积水均为泌尿系统结石并发尿路感染的独立危险因素(OR=2.370、1.597、2.499、1.418、1.327、1.247,P均<0.05).结论 泌尿系统结石患者容易并发尿路感染,对于合并尿路梗阻、肾积水以及血尿常规检查结果异常的患者,应重点关注其病情发展,做好尿路感染的预防工作.
Analysis of the Risk Factors of Complicated Urinary Tract Infections in Patients with Urinary System Lithiasis
Objective To investigate the risk factors of urinary tract infection complicating patients with urinary sys-tem lithiasis.Methods The clinical data of 1 279 patients with urinary system lithiasis admitted to Huizhou Central People's Hospital from January to December 2022 were retrospectively selected and were divided into an infected group(356 cases)and an uninfected group(923 cases)according to whether or not they were complicated with urinary tract infection.The clinical data of patients in the two groups were compared,and the risk factors for complicated uri-nary tract infection were clarified using multifactorial logistic regression analysis.Results The patients in the infected group were compared with the patients in the uninfected group in terms of stone location,stone diameter,blood creati-nine,urea nitrogen,white blood cell count,urine pH,urinary tract obstruction,and hydronephrosis,and the differ-ences were statistically significant(all P<0.05).The results of multifactorial logistic regression analysis showed that upper urinary tract stones,urea nitrogen≥7.15 mmol/L,white blood cell count≥10.0×109 cells/L,urine acidity and al-kalinity≥7.0,and the combination of urinary tract obstruction and hydronephrosis were the independent risk factors for urinary tract infections complicated by urinary system lithiasis(OR=2.370,1.597,2.499,1.418,1.327,1.247,all P<0.05).Conclusion Patients with urinary system lithiasis are prone to complications of urinary tract infection,and patients with combined urinary tract obstruction,hydronephrosis,and abnormal blood and urine routine test results should be paid attention to the development of their conditions,and do a good job in the prevention of urinary tract in-fection.

Urinary system lithiasisUrinary tract infectionRisk factors

方树敏、黄晓妮、蔡惠敏、吴显劲

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汕头大学医学院,广东 汕头 515000

惠州市中心人民医院科研中心,广东 惠州 516000

惠州市中心人民医院检验中心,广东 惠州 516000

泌尿系统结石 尿路感染 危险因素

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(12)
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