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采取对2008年1月—2010年12月我院确诊80例老年糖尿病合并泌尿系感染患者与同期40例老年非糖尿病泌尿系感染患者进行对照研究。结果老年糖尿病组患者泌尿系感染发生率明显增高,占66.7%,以女性更为明显(P<0.01);老年糖尿病组患者无症状性菌尿(ASB)及并发症的发生率明显增高,两组对照,其差异有显著性(P<0.01);病原体培养显示大肠埃希菌仍是泌尿系感染的主要致病菌,占51.7%,糖尿病组真菌感染发生率较高,达6.25%。结论老年糖尿病患者泌尿系感染发病率高,并发症的发生率也较高;及早发现,并在积极控制血糖的基础上,采用抗生素和非抗生素的预防和治疗,提高治愈率,避免危重并发症的发生。
Take from January 2008 -2010 in our hospital diagnosed 80 cases of elderly patients with diabetes mellitus infection and 40 cases of elderly non-diabetic urinary tract infection control study. Results The prevalence of urinary tract infection was significantly higher in elderly diabetic patients (66.7%), especially in women (P <0.01). The incidence of asymptomatic bacteriuria (ASB) and complications in elderly diabetic patients was significantly higher (P <0.01). The pathogen culture showed that Escherichia coli was still the main pathogen of urinary tract infection, accounting for 51.7%. The incidence of fungal infection in diabetes group was 6.25%. Conclusion The incidence of urinary tract infection in elderly diabetic patients is high, and the incidence of complications is also high. Early detection and prevention and treatment of antibiotics and non-antibiotics based on positive control of blood glucose can improve the cure rate and avoid serious complications happened.