糖尿病合并尿路感染45例临床分析

目的:探讨收治的糖尿病合并尿路感染的临床资料特点。方法:对确诊的45例糖尿病合并尿路感染患者与同期住院的30例非糖尿病尿路感染患者进行对照研究。结果:糖尿病组尿路感染发生率明显增高,占60%,以女性更为明显(P﹤0.05);糖尿病组无症状菌尿(ASB)、急性肾盂肾炎和复杂性尿路感染发生率均明显升高,分别为17.8%、44.4%、28.9%;两组对比差异有统计学意义(P﹤0.05);细菌培养结果显示,两组病原菌仍以革兰阴性杆菌为主,分别为68.9%和66.7%,真菌感染发生率糖尿病组8.3%高于对照组3%。结论:糖尿病尿路感染发生率高,多为ASB、急性肾盂肾炎和复杂性尿路感染,积极降低血糖的基础上,采用正规抗感染治疗,尤其重视ASB治疗,是减少和预防糖尿病尿路感染的有效方法。

Urinary tract infections among patients with diabetes mellitus:a clinical analysis of 45 cases

Objective To investigate the clinical manifestation of bacterial urinary tract infections among patients with diabetes in five years.Method A contrast analysis of clinical features was performed on urinary tract infections in patient between 45cases with diabetes and 30 cases without diabetes diagnosed from January 2007 to December 2011.Results The urinary tract infection rate in diabetes group was higher(60%,P﹤0.05),especially in female patients.The rate of asymptomatic bacteriuria(ASB 17.8%),acute pyelonephritis(44.4%),complicated urinary tract infection(28.9%) in diabetes group were all higher than non-diabetes one(P﹤0.05).The results of bacterial culture indicated that the fungal infection rate was higher in diabetes group.Conclusion The urinary tract infection rate with diabetes are higher.The infections mainly include ASB,acute pyelonephritis and complicated urinary tract infection.The key to reduce the urinary tract infection in the patients with diabetes is to take measures on ASB at the basis of controlling blood glucose.