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目的探讨分析前列腺切除术后发生尿路感染的原因,并提出相应的对策。方法选取2010年6月~2011年5月于某院进行前列腺电切术治疗的329例患者为研究对象,将其尿路感染率进行统计分析,并将其与年龄、尿管留置时间、是否合并糖尿病及引流系统的使用情况的相关性进行统计分析,然后根据分析结果进行相应的对策制定及实施。结果 329例患者中,发生尿路感染51例,占总数的15.50%,其中尿管留置3 d以上者感染发生率为51.69%,高于尿管留置时间短于3 d者的2.08%,合并糖尿病者的发生率为35.64%,高于无糖尿病者的6.58%,65岁以上者发生率为22.27%,高于65岁以下者的4.72%,存在引流不合理者发生率为66.15%,高于引流规范者的3.03%,经比较,P均﹤0.05,差异均有统计学意义,经合理处理,均痊愈出院。结论前列腺切除术后发生尿路感染与尿管留置、是否合并糖尿病、是否老年患者及引流系统的情况等有明显的相关性,可为其治疗预防提供依据。
Objective To analyze the causes of urinary tract infection after prostatectomy and to propose corresponding countermeasures. Methods A total of 329 patients who underwent prostatectomy in a hospital from June 2010 to May 2011 were enrolled in this study. Their urinary tract infection rates were statistically analyzed and compared with age, catheter indwelling time, Statistical analysis of the correlation between the use of diabetes and drainage system, and then based on the analysis of the corresponding measures to develop and implement. Results Of the 329 patients, 51 cases of urinary tract infection occurred, accounting for 15.50% of the total. Incidence of catheter infection for more than 3 days was 51.69%, higher than 2.08% of patients with catheterization shorter than 3 days The incidence of diabetes mellitus was 35.64%, higher than 6.58% of those without diabetes, the incidence of over 65 years old was 22.27%, higher than that of under 65 years old, and the rate of unreasonable drainage was 66.15% 3.03% of those with drainage standard, by comparison, P <0.05, the differences were statistically significant, after reasonable treatment, were discharged. Conclusions The occurrence of urinary tract infection after prostatectomy has significant correlation with catheter indwelling, diabetes mellitus, elderly patients and the condition of drainage system, which may provide evidence for its prevention and treatment.