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目的:糖尿病是威胁人类健康的常见慢性非传染性疾病。易发感染常见于肺部和尿路感染,多见于中老年患者。通过对94例糖尿病并尿路感染患者进行回顾性分析。进一步了解糖尿病合并尿路感染因素及临床特点,从而确定预防对策及治疗措施。结果:糖尿病并尿路感染与年龄、病程、血糖控制情况及有无慢性并发症等因素密切相关。感染细菌以革兰氏阴性菌为主,主要为大肠埃希氏菌,其次为产酸克雷伯菌、铜绿假单胞菌、表皮葡萄球菌,阴沟肠杆菌,严重者易发生菌血症、败血症可引起死亡。结论:糖尿病并尿路感染与多因素有关,治疗上应采取综合措施,控制血糖与控制感染为同等重要。通过药敏试验适当的选择敏感性抗生素,同时治疗非感染性并发症、加强支持疗法;注意阴部卫生,避免预防应用抗生素。
Purpose: Diabetes is a common chronic non-communicable disease that is a threat to human health. Susceptible to infection common in the lungs and urinary tract infections, more common in middle-aged patients. 94 cases of diabetic patients with urinary tract infection were retrospectively analyzed. To further understand the factors and clinical features of diabetic patients with urinary tract infection, in order to determine the prevention measures and treatment measures. Results: Diabetes mellitus and urinary tract infection were closely related to age, course of disease, glycemic control and chronic complications. Gram-negative bacteria, mainly Escherichia coli, Klebsiella oxytoca followed, Pseudomonas aeruginosa, Staphylococcus epidermidis, Enterobacter cloacae, bacteremia in severe cases, Sepsis can cause death. Conclusion: Diabetes mellitus and urinary tract infection are related to many factors. Comprehensive treatment measures should be taken to control blood sugar and control infection as equally important. Appropriate choice of sensitive antibiotics through drug susceptibility testing, while treatment of non-infectious complications, and strengthen supportive care; pay attention to genital hygiene, to prevent the prevention and treatment of antibiotics.