脊髓损伤患者泌尿系感染的危险因素分析

目的研究间歇导尿的脊髓损伤患者泌尿系感染的危险性因素。方法对我院1999年1月到2005年12月243例住院患者进行回顾性研究。结果泌尿系感染率为0.93/100d.人。泌尿系感染的相关危险因素包括：年龄〉40岁,抗生素使用、颈髓损伤,功能独立性评分≤71分和膀胱功能障碍。颈髓损伤、功能独立性评分≤71分和严重膀胱功能障碍是脊髓损伤间歇导尿患者泌尿系感染的独立危险因素。结论伴有严重肢体功能障碍和膀胱功能障碍的高位脊髓损伤患者泌尿系感染的风险较高。

Risk Factor for Urinary Tract Infection after Spinal Cord Injury

Objective To identify the incidence and risk factors associated with urinary tract infection in spinal cord injured patients who accepted sterile intermittent catheterization. Methods 243 patients with spinal cord injury were analysed retrospectively. Results The overall incidence of urinary tract infection was 0.93 episodes per 100 person-days. The risk factors associated with urinary tract infection were age older than 40, frequent exposure to antibiotics, cervical injury, score of functional independence measure less than 71 and bladder dysfunction. The independence risk factors were cervical injury, score of functional independence measure less than 71 and bladder dysfunction. Conclusion High level spinal cord injured patients with lower function and bladder dysfunction are higher risk for urinary tract infection.