摘要
目的:分析上尿路结石微创术后合并尿路感染的危险因素。方法:回顾性分析我院2016年2月至2019年2月收治的366例行上尿路结石微创术患者的临床资料,对术后合并尿路感染的危险因素进行分析。结果:单因素分析显示年龄、糖尿病史、手术时间、术前尿路感染、导管留置时间是上尿路结石微创术后合并尿路感染的影响因素(P<0.05或P<0.01);多因素logistic回归分析显示年龄≥55岁、合并糖尿病、术前存在尿路感染、导管留置时间≥5 d是上尿路结石微创术后合并尿路感染的独立危险因素(P<0.05)。结论:年龄≥55岁、合并糖尿病、术前存在尿路感染、导管留置时间≥5 d均是上尿路结石微创术后合并尿路感染的独立危险因素,应针对危险因素做好术前术后相关护理工作,以降低术后尿路感染的发生率。
Objective:To analyze the risk factors of urinary tract infection after minimally invasive surgery for upper urinary tract calculi. Methods:The clinical data of 366 patients with upper urinary tract calculi treated in our hospital from February 2016 to February 2019 were analyzed retrospectively, and the risk factors of postoperative urinary tract infection were analyzed. Results:Single factor analysis showed that age, diabetes history, operation time, preoperative urinary tract infection and catheter indwelling time were the influencing factors(P< 0. 05 orP< 0. 01) of urinary tract infection after minimally invasive surgery for upper urinary tract calculi;multi factor logistic regression analysis showed that age≥55 years, complicating with diabetes mellitus, preoperative urinary tract infection and catheter indwelling time≥5 days were independent risk factors of urinary tract infection(P< 0. 05).Conclusion:Age≥55 years, complicating with diabetes mellitus, preoperative urinary tract infection and catheter indwelling time≥5 days are the independent risk factors of urinary tract infection after minimally invasive surgery for upper urinary tract calculi. The relevant nursing work before and after surgery should be done according to the risk factors so as to reduce the incidence of postoperative urinary tract infection.
作者
鲁向阳
李文亮
李春明
Lu Xiangyang;Li Wenliang;Li Chunming(Department of Urology,General Hospital of Hebi Coal Industry Group Co.,Ltd,Hebi,Henan 458000,China)
出处
《现代临床医学》
2021年第4期256-257,264,共3页
Journal of Modern Clinical Medicine
基金
2016年度河南省医学科技攻关计划项目(201602328)。
关键词
上尿路结石微创术
尿路感染
危险因素
minimally invasive surgery for upper urinary tract calculi
urinary tract infection
risk factors
