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输尿管软镜碎石术后患者发生尿路感染的影响因素

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目的:分析输尿管软镜碎石术后患者发生尿路感染的影响因素.方法:回顾性分析 2018 年 1 月至 2022 年 8 月该院收治的 362 例行输尿管镜碎石术患者的临床资料,统计输尿管软镜碎石术后患者尿路感染发生情况,采用Logistic回归分析输尿管软镜碎石术后患者发生尿路感染的影响因素.结果:362 例输尿管软镜碎石术后患者发生尿路感染 46 例,发生率为 12.71%(46/362),设为感染组,其余设为未感染组;感染组年龄>60 岁、合并糖尿病、有尿路感染史、手术时间>90 min、重度肾积水、抗菌药物使用种类≥2 种的占比均高于未感染组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄>60 岁、合并糖尿病、有尿路感染史、手术时间>90 min、重度肾积水、抗菌药物使用种类≥2 种均为影响输尿管软镜碎石术后患者发生尿路感染的危险因素(OR>1,P<0.05).结论:年龄>60 岁、合并糖尿病、有尿路感染史、手术时间>90 min、重度肾积水、抗菌药物使用种类≥2 种均为影响输尿管软镜碎石术后患者发生尿路感染的危险因素.
Influencing factors of urinary tract infection in patients after flexible ureteroscopic lithotripsy
Objective:To analyze influencing factors of urinary tract infection in patients after flexible ureteroscopic lithotripsy.Methods:The clinical data of 362 patients undergoing flexible ureteroscopic lithotripsy in this hospital from January 2018 to August 2022 were retrospectively analyzed.The incidence of urinary tract infection in these patients was statistically analyzed.Logistic regression was used to analyze the influencing factors of urinary tract infection in these patients after flexible ureteroscopic lithotripsy.Results:There were 46 cases of urinary tract infection in the 362 patients after flexible ureteroscopic lithotripsy with an incidence of 12.71%(46/362),and they were set as the infection group.The rest were set as the non-infection group.The proportions of the patients with age>60 years old,combined diabetes mellitus,history of urinary tract infection,operation time>90 min,severe hydronephrosis,and more than two kinds of antibiotics in the infection group were higher than those in the non-infection group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age>60 years old,combined diabetes mellitus,history of urinary tract infection,operation time>90 min,severe hydronephrosis,and more than two kinds of antibiotics were risk factors for urinary tract infection in the patients after flexible ureteroscopic lithotripsy(OR>1,P<0.05).Conclusions:Age>60 years old,combined diabetes mellitus,history of urinary tract infection,operation time>90 min,severe hydronephrosis,and more than two kinds of antibiotics are the risk factors for urinary tract infection in the patients after flexible ureteroscopic lithotripsy.

Flexible ureteroscopic lithotripsyPostoperativeUrinary tract infectionInfluencing factor

闫娟、符华敏、蓝俏俏、赵娜

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解放军总院海南医院泌尿介入外科,海南 三亚 572000

输尿管软镜碎石术 术后 尿路感染 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(1)
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