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1、中华医院感染学杂志2011年第21卷第16期ChinJNosocomiolVol.21No.162011#3369##论著#泌尿外科患者尿路感染危险因素logistic回归分析才胜勇,裴琼,崔海军(唐山市工人医院泌尿外科,河北唐山063000)摘要:目的探讨引起泌尿外科住院患者尿路感染的危险因素。方法回顾性分析880例泌尿外科住院病历,将合并尿路感染者作为观察组,按1B1选择同期无尿路感染泌尿外科患者作为对照组,对可能影响因素先进行单因素V2、t检验;然后将单因素分析差异有统计学意义的变量进行多元逐步logistic回归分析。结果880例患者中合并尿路感染60例,发生率
2、为6.82%;单因素分析9个变量是影响尿路感染危险因素(P<0.05),采用lo-gistic回归分析,筛选出独立危险因素,按OR值的大小,依次为年龄大、有创诊治措施、合并其他疾病、预防使用抗菌药物。结论泌尿外科住院患者尿路感染发生率较高,影响因素较多,应针对上述因素予针对性预防措施。关键词:泌尿外科;尿路感染;危险因素;logistic回归分析+中图分类号:R181.32文献标识码:A文章编号:1005-4529(2011)16-3369-03Riskfactorsforurinarytractinfectionamonginpatientsindepartmento
3、furology:alogisticregressionanalysisCAISheng-yong,PEIQiong,CUIHa-ijun(TangshanWorkersHospital,Tangshan,Hebei063000,China)Abstract:OBJECTIVEToinvestigatethehighriskfactorsofurinarytractinfectionamonginpatientsindepartmentofUrology.METHODSAtotalof880casesofurologicalmedicalrecordswereanaly
4、sisedretrospectively.Patientswithurinarytractinfectionwereobservedasagroup,andthesamenumberofurologypatientswithouturinarytractinfectionwereselectedasthecontrolgroup.Ch-isquaretestandtestwereusedtoanalysispossiblesinglefactors,andvariableswhichhadsignificantdifferencesinunivariateanalysi
5、swereanalysisedbymultivariablelogis-ticregression.RESULTSTotally60caseswereurinarytractinfection,andtheratewas6.82%.Ninevariableswereriskfactorseffectingurinarytractinfectioninunivariateanalysis(P<0.05).Usinglogisticregressionanalysis,independentriskfactorswereselectedaccordingtothevalue
6、ofOR,whichwereolder,invasivetreatmentmeasures,combinedwithotherdiseases,theprophylacticuseofantibiotics.CONCLUSIONUrinarytractinfectionhadahigherincidence,andinfluencedbymanyfactorsamonginpatientsofdepartmentofurology.So,preventivemeasuresshouldbetakenbyfocusingonthesefactors.Keywords:De
7、partmentofurology;Urinarytractinfection;Riskfactors;Logisticregressionanalysis尿路感染是细菌侵入泌尿道所引起的炎症,在平均(62.74?17.25)岁。[1]泌尿外科中尿路感染为最常见感染,为了解医院1.2尿路感染诊断标准尿中出现白细胞(尿沉渣内尿路感染病例的相关因素,提出合理的预防措施,白细胞5个/HP);尿培养检出病原菌,其中有临5笔者对我院泌尿外科患者的临床资料进行回顾性分床症状者,革兰阴性菌10CFU/ml,革兰阳性菌4析,对引起感染的危险因素进行病
