摘要
目的分析老年2型糖尿病患者尿路感染临床特点和血糖控制情况。方法选取医院2015年11月-2017年1月收治的老年2型糖尿病合并尿路感染患者52例为观察组,同时选取同期在医院治疗的老年2型糖尿病未合并尿路感染患者51例为对照组,分析老年2型糖尿病患者尿路感染临床特点,并对比两组的治疗时间、病程、生化指标情况。结果 52例感染患者共分离培养病原菌52株,其中革兰阴性菌48株占92.31%,以大肠埃希菌为主;真菌4株占7.69%;观察组治疗时间、病程、尿素氮、甘油三酯、糖化血红蛋白、空腹血糖及餐后2h血糖分别为(16.62±2.90)d、(11.34±2.00)年、(6.73±1.23)mmol/L、(2.08±0.70)mmol/L、(14.03±1.80)%、(8.30±1.92)mmol/L、(14.41±2.22)mmol/L均显著高于对照组(12.48±2.50)d、(8.46±2.03)年、(4.67±1.20)mmol/L、(1.40±0.40)mmol/L、(9.64±1.56)%、(7.05±1.17)mmol/L、(11.12±1.90)mmol/L(P<0.05)。结论老年2型糖尿病患者尿路感染病原菌以大肠埃希菌为主,同时患者的各项生化指标、治疗时间、病程均明显升高,血糖控制效果不佳。
OBJECTIVE To analyze the clinical characteristics of urinary tract infections and blood glucose control in elderly patients with type 2 diabetes mellitus.METHODS Fifty-two elderly patients with type 2 diabetes mellitus combined with urinary tract infections who admitted in our hospital from Nov.2015 to Jan.2017 were selected and included into observation group,and fifty-one elderly patients with type 2 diabetes mellitus without urinary tract infection at the same period were selected as control group.The clinical characteristics of urinary tract infections in elderly patients with type 2 diabetes mellitus were analyzed,and the treatment time,course of disease and biochemical indicators were compared between two groups.RESULTS A total of 52 strains of pathogenic bacteria were isolated from 52 cases of infected patients,of which 48 strains were gram-negative bacteria accounting for 92.31%,mainly Escherichia coli,and 4 strains were fungi accouting for 7.69%.The treatment time,course of disease,urea nitrogen,triglyceride,HbA1 c,fasting blood glucose and postprandial 2 hblood glucose of observation group were（16.62±2.90）d,（11.34±2.00）years,（6.73±1.23）mmol/L,（2.08±0.70）mmol/L,（14.03±1.80）%,（8.30±1.92）mmol/L and（14.41±2.22）mmol/L,which were significantly higher than（12.48±2.50）d,（8.46±2.03）years,（4.67±1.20）mmol/L,（1.40±0.40）mmol/L,（9.64±1.56）%,（7.05±1.17）mmol/L and（11.12±1.90）mmol/L of control group（P〈0.05）.CONCLUSION The main pathogenic bacteria of urinary tract infections in elderly patients with type 2 diabetes mellitus is E.coli,meanwhile,the biochemical indicators,treatment time and the course of disease are significantly increased,and the blood glucose control effect is poor.
作者
张耿
占达良
邓炳取
胡少敏
肖成东
ZHANG Geng ZHAN Da-liang DENG Bing-qu HU Shao-min XIAO Cheng-dong(The Third People＇s Hospital of Haikou City of Hainan Province, Haikou, Hainan 571100, China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第20期4661-4663,4667,共4页
Chinese Journal of Nosocomiology
基金
海南省自然科学基金资助项目(20158271)
关键词
老年
尿路感染
2型糖尿病
临床特点
血糖控制
Elderly
Urinary tract infection
Type 2 diabetes meIlitus
Clinical characteristics
Blood glucose con-trol
