摘要
目的分析良性前列腺增生(BPH)患者行经尿道前列腺剜除术后尿路感染发生的影响因素。方法选取2020年5月—2023年5月该院收治的103例行经尿道前列腺剜除术的BPH患者为研究对象,统计其术后尿路感染发生情况,另收集患者的年龄等一般资料。结果103例行经尿道前列腺剜除术的BPH患者中,术后共有18例发生尿路感染,发生率为17.48%。单因素分析结果显示,不同年龄、糖尿病史、术前导尿情况、手术时间、预防性使用抗生素情况、术后尿管留置时间BPH患者术后尿路感染发生情况比较,组间差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,年龄>60岁、有糖尿病史、术前导尿、手术时间>90 min、未预防性使用抗生素、术后尿管留置时间>7 d为行经尿道前列腺剜除术的BPH患者术后尿路感染发生的独立危险因素(P<0.05)。结论年龄、糖尿病史、术前导尿情况、手术时间、预防性抗生素使用情况、术后尿管留置时间是BPH患者经尿道前列腺剜除术后尿路感染发生的影响因素,可针对性地采取预防措施。
Objective To analyze the relevant factors and protective strategies of urinary tract infections in patients with benign prostatic hyperplasia(BPH)after transurethral enucleation of the prostate.Methods 103 patients with BPH who underwent transurethral enucleation of the prostate from May 2020 to May 2023 were selected as the study subjects,and analyzed the incidence of postoperative urinary tract infections.Additionally,we collected general information such as the patient's age.Results Among 103 BPH patients who underwent transurethral enucleation of the prostate,a total of 18 patients developed urinary tract infections after the surgery,with an incidence rate of 17.48%.The results of single factor analysis showed that there were statistically significant differences in the incidence of postoperative urinary tract infection among BPH patients of different ages,diabetes history,preoperative catheterization,operation time,prophylactic use of antibiotics,and postoperative catheter retention time,and the difference was statistically significant(P<0.05).Multivariate Logistic regression analysis showed that age>60 years,history of diabetes,preoperative catheterization,operation time>90 minutes,no prophylactic use of antibiotics,and postoperative catheter retention time>7 days were the independent risk factors for postoperative urinary tract infection in BPH patients undergoing transurethral enucleation of the prostate(P<0.05).Conclusion Age,history of diabetes,preoperative catheterization,operation time,use of preventive antibiotics,and retention time of urinary catheter after operation are the influencing factors of urinary tract infection in BPH patients after transurethral enucleation of prostate,and preventive measures can be taken accordingly.
作者
赵娇霞
董园园
陈瑞红
ZHAO Jiaoxia;DONG Yuanyuan;CHEN Ruihong(Department of Urology,Cao County People's Hospital,Heze Shandong,274400,China)
出处
《反射疗法与康复医学》
2023年第19期140-142,共3页
Reflexology And Rehabilitation Medicine
关键词
良性前列腺增生
经尿道前列腺剜除术
尿路感染
Benign prostatic hyperplasia
Transurethral enucleation of the prostate
Urinary tract infection
