摘要
目的探讨2型糖尿病患者合并尿路感染的临床特点，为糖尿病合并尿路感染的预防提供理论指导。方法回顾性调查2009年9月-2012年8月196例2型糖尿病合并尿路感染患者临床资料，使用SPSS17．0软件对数据进行统计分析。结果196例2型糖尿病合并尿路感染患者女性占82．7％，比例明显高于男性的17．3％（P〈0．05）；年龄40～60岁占33．7％，〉60岁占66．3％，196例2型糖尿病合并尿路感染患者均有发热、尿频、尿急、尿痛等症状，61例出现无症状菌尿，发生率31．1％，75例发生尿储留，发生率38．3％，有9例发生败血症；检出大肠埃希菌86株，占阳性检出率43．9％，检出产超广谱p内酰胺酶大肠埃希菌33株占38．4％。结论2型糖尿病合并尿路感染有女性患者居多，临床表现不甚典型，主要为大肠埃希菌感染的特点，且耐药菌株比例升高，在了解2型糖尿病合并尿路感染临床特点的基础上，要充分做好积极防治尿路感染的工作。
OBJECTIVE To investigate the clinical features of type 2 diabetes patients complicated with urinary tract infections in the hospital so as to provide theoretical direction for prevention of diabetes complicated with urinary tract infections. METHODS A retrospective study was conducted for the clinical data collected from 196 type 2 diabetes patients complicated with urinary tract infections who were treated in the hospital from Sep 2009 to Aug 2012, then the statistical analysis was performed with the use of SPSS17.0 software. RESULTS Among the 196 cases of type 2 diabetes patients complicated with urinary tract infections, the female patients accounted for 82.7%, significantly higher than 17.3% of the male patients （P〈0.05） the patients aged between 40 and 60 years old accounted for 33.7%, the patients aged more than 60 years old accounted for 66.3%. All the 196 cases of patients with type 2 diabetes and urinary tract infections had symptoms like fever, frequent micturition, urgent urination and odynuria, in which 61 cases had aymptomatic bacteremia, accounting for 31.1%, 75 cases （38.3%） with urinary retentron and 9 cases with blood poisoning. A total of 86 strains of Escherichia coli were detected, accounting for 43.9~ totally 33 strains of extended-spectrum 13qactamase （ESBL）-producing E. coli have been detected , accounted for 38.4%. CONCLUSION The female type 2 diabetes patients are the major population at the risk of urinary tract infections, with the clinical manifestations atypical, the E. coli infection is dominant, and the proportion of the drug resistant strains is increased. It is necessary to understand the clinical characteristics of the type 2 diabetes complicated with. urinary tract infections so as to guide the prevention and treatment of urinary tract infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第24期5943-5944,5952,共3页
Chinese Journal of Nosocomiology
关键词
2型糖尿病
尿路感染
临床特点
预防措施
. Type 2 diabetes complicated with urinary tract infections Clinical characteristics Prevention measure
