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中国人群脑卒中并发尿路感染相关危险因素的Meta分析
引用本文:苏娜,蹇中华,邓植洪,李虹. 中国人群脑卒中并发尿路感染相关危险因素的Meta分析[J]. 川北医学院学报, 2017, 32(4): 601-605. DOI: 10.3969/j.issn.1005-3697.2017.04.034
作者姓名:苏娜  蹇中华  邓植洪  李虹
作者单位:绵阳市第三人民医院康复医学科,四川 绵阳,621000;绵阳市第三人民医院康复医学科,四川 绵阳,621000;绵阳市第三人民医院康复医学科,四川 绵阳,621000;绵阳市第三人民医院康复医学科,四川 绵阳,621000
摘    要:目的:荟萃分析脑卒中患者并发尿路感染相关危险因素,为防治脑卒中患者并发尿路感染提供科学依据。方法:按统一检索策略检索文献数据库,获取截至2017年1月国内外关于中国人群脑卒中患者并发尿路感染相关危险因素的研究文献。按纳入标准纳入合格文献,提取数据并进行Meta分析。结果:共纳入11篇,收集病例组6 748例和对照组5 702例。Meta分析结果显示性别和年龄与脑卒中并发尿路感染有显著统计学差异(性别:OR=0.37,95%CI:0.28~0.49,P<0.001;年龄:OR=0.33,95%CI:0.24~0.45,P<0.001);留置导尿管和患糖尿病是脑卒中患者并发尿路感染的重要危险因素(留置导尿管:OR=10.85,95%CI:5.35~22.02,P<0.001;患糖尿病:OR=8.63,95%CI:5.03~14.81,P<0.001);Brunnstrom运动功能分期与脑卒中患者并发尿路感染有显著统计学意义(OR=0.14,95%CI:0.09~0.21,P<0.001)。然而,脑卒中类型、全身抗生素使用情况、住院时间及伴发尿路结石与脑卒中患者并发尿路感染均无显著统计学意义(P>0.05)。结论:性别、年龄、留置导尿管、糖尿病和Brunnstrom运动功能分期是中国人群脑卒中并发尿路感染的重要危险因素,未来需扩大样本量和人群结构进一步进行多中心、随机研究予以验证。

关 键 词:脑卒中  尿路感染  危险因素  Meta分析

Association between relevant risk factors and stroke patients with urinary tract infection in Chinese population:a meta-analysis
SU Na,JIAN Zhong-hua,DENG Zhi-hong,LI Hong. Association between relevant risk factors and stroke patients with urinary tract infection in Chinese population:a meta-analysis[J]. Journal of North Sichuan Medical College, 2017, 32(4): 601-605. DOI: 10.3969/j.issn.1005-3697.2017.04.034
Authors:SU Na  JIAN Zhong-hua  DENG Zhi-hong  LI Hong
Abstract:Objective:To synthetically investigate the relevant risk factors associated with stroke patients with urinary tract infection in Chinese population by a meta-analysis in order to provide a scientific basis for prevention and treatment of stroke patients with urinary tract infection.Methods:According to the retrieval strategy,studies about relevant risk factors and stroke patients with urinary tract infection were selected from Chinese and English electronic databases up to Jan.2017.The data of the included studies was extracted.The pooled OR and 95%CI,and the heterogenicity test were calculated by Review Manager 5.3 software.Results:A total of 11 case-control studies were identified,involving 6 748 cases and 5 702 controls.The current meta-analysis showed that the gender and age were significantly associated with stroke patients with urinary tract infection (gender:OR=0.37,95%CI:0.28-0.49,P<0.001;age:OR=0.33,95%CI:0.24-0.45,P<0.001).Indwelling catheter and comorbidity diabetes mellitus were important risk factors in stroke patients with urinary tract infection,respectively (indwelling catheter:OR=10.85,95%CI:5.35-22.02,P<0.001;comorbidity diabetes mellitus:OR=8.63,95%CI:5.03-14.81,P<0.001).There was significant difference between motor function measure of Brunnstrom and stroke patients with urinary tract infection (OR=0.14,95%CI:0.09-0.21,P<0.001).However,there was no significant difference about stroke types,antibiotic usage,length of stay and concomitant urolithiasis with stroke patients with urinary tract infection(P>0.05).Conclusion:The current meta-analysis suggested that gender,age,indwelling catheter,comorbidity diabetes mellitus and motor function measure of Brunnstrom could be important risk factors in stroke patients with urinary tract infection in Chinese population.In the future we need to expand the sample size and population structure,for further multi-center and randomized study to verify.
Keywords:Stroke  Urinary tract infection  Risk factors  Meta-analysis
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