经尿道前列腺电切术后并发尿路感染的相关临床影响因素研究

摘要

目的:研究经尿道前列腺电切术后并发尿路感染的相关影响因素,为临床提供依据.方法:选取2015年1月至2016年4月医院诊治的良性前列腺增生患者120例,患者均行经尿道前列腺电切术治疗.根据术后是否发生尿路感染分为感染组19例,非感染组101例.采用医院自拟问卷调查表对患者术后并发尿路感染危险因素进行单因素和多因素Logistic分析.结果:120例良性前列腺术患者中19例发生尿路感染,占15.8％.单因素分析显示:经尿道前列腺电切术后并发尿路感染率与年龄、医师经验、糖尿病、术前尿潴留导尿术、术前使用抗生素、术后留置尿管时间关系密切(P＜0.05);非条件Logistic多因素分析显示:经尿道前列腺电切术后并发尿路感染率与年龄、医师经验、糖尿病、术前尿潴留导尿术、术前使用抗生素、术后留置尿管时间关系密切(P＜0.05).结论:良性前列腺增生患者采用经尿道前列腺电切术后并发尿路感染危险因素较多,应根据危险因素采取积极有效的应对措施,降低术后尿路感染率.%Objectives:To study the clinically relevant influencing factors of transurethral resection of urinary tract infection,to provide basis for its clinical treatment.Methods:120 patients with benign prostatic hyperplasia (BPH) in our hospital from January 2015 to April 2016 were selected.All the patients received transurethral resection of the prostate and were divided into infection group (n =19) and non-infection group (n =101).The univariate and multivariate Logistic analysis was conducted on the risk factors of urinary tract infection using the self -designed questionnaire of the hospital.Results:19 patients had urinary tract infection among the 120 patients,accounting for 15.8％.According to univariate analysis,the urinary tract infection was correlated with age,experience physicians,diabetes,urinary retention catheterization surgery,preoperative use of antibiotics and indwelling catheter time (P ＜ 0.05).According to non-conditional Logistic multivariate analysis,urinary tract infection was closely related with age,experience physicians,diabetes,urinary retention catheterization surgery,preoperative use of antibiotics and indwelling catheter time (P ＜ 0.05).Conclusion:BPH patients treated by transurethral resection of the prostate are with many risk factors of urinary tract infection.Therefore,positive and effective measures should be taken based on risk factors,to reduce postoperative urinary tract infection.