【摘要】 目的探讨老年2型糖尿病患者合并尿路感染的临床特点及相关危险因素,更有效的防治老年2型糖尿病患者发生尿路感染。方法选择2010~2012年住院的2型糖尿病合并尿路感染患者187例,根据年龄是否大于或等于60岁,分为老年组和非老年组,对两组之间的临床特点以及致病菌进行统计学分析。结果老年2型糖尿病合并尿路感染患者的糖尿病病程长,症状不典型,血糖水平和慢性并发症均高于非老年组(P<0.05),而血浆白蛋白水平低于非老年组(P<0.05),两组的致病菌均以大肠杆菌为主。结论老年2型糖尿病患者由于病程长、血糖水平高、有慢性并发症、低蛋白血症等因素,比非老年患者更易发生尿路感染,应积极控制血糖,防治并发症及营养不良,同时应根据药敏结果合理使用抗生素。更多还原

【Abstract】 Objective To analyze the clinical characteristic and relevant risk factors of senile type 2 diabetes patients with urinary tract infections.Methods The 187 senile type 2 diabetes inpatinents with urinary tract infection in our hospital were divided into ≥60 year group(senile age group,121 cases)and ≤60 years group(non-senile age group,66 cases),the clinical features and pathogens of inpatients in both groups were analyzed.Results The course of disease of seniler type 2 diabetes inpatients with urinary tract infection was longer.compared to non-senile age group,symptoms of senile age-group were not typical with higher blood glucose level and high chronic complication rate(P<0.05),but their plasma albumin level was lower(P<0.05).Escherichia coli was the main pathogen in patients of both groups.Conclusions The senile type 2 diabetes inpatients was characterized of a longer course of illness,high blood glucose level,more complications and low proteinemia,thus subjected to urinary tract infection.Thus integrated measured is indicated for clinical management of these cases.更多还原