糖尿病并发感染临床类型及其危险因素分析

目的：通过分析糖尿病合并感染的临床类型及危险因素，进一步预防和控制糖尿病的感染。方法：对导致糖尿病并发感染的众多危险因素进行Ｌｏｇｉｓｔｉｃ回归模型多因素分析。结果：回顾性分析该院收治的８４６例糖尿病病例，并发感染２６９例，其中住院前感染２３４例，住院后感染３５例。感染的临床类型以肺部及上呼吸道最为多见，其次为尿路感染及胆道感染。引起感染的病原菌以奈瑟氏菌及草绿色链球菌最为多见，其次为肺炎克雷伯杆菌、白色念珠菌、金黄色葡萄球菌等。结论：发现年龄≥６０岁，女性患者、住院天数和空腹血糖高为糖尿病并发感染的危险因素。

Clinical Type of Infection and Risk Factor Analysis in Diabetic Patients

Objective:To assess risk factors of complicated infections among diabetic patients in order to prevent and control infections of diabetes.Methods:Eight hundred and forty six patients of diabetes mellitus admitted to Zhongshan Hospital were surveyed retrospectively.Results:There were 269 cases of diabetes with infctions.Among them,234 cases were infected before admission and 35 during the period of hospitalization.The most common focus of infection was the respiratory tract,followed by urinary and biliary tracts,skin and tuberculosis,etc.The responsible pathogens were gramnegative bacteria and grampositive bacteria,among which Neisseria and Streptococcus viridans were the most frequently occurred,and the next microorganisms were Klebsiella pneumoniae,Candidia albicans and Staphylococcus aureus ,etc.Conclusion:With the Logistic regression analysis it was found that the significant risk factors for the development of infections in diabetes were age (over 60 years),female,fasting blood glucose and the duration of hospitalization.