摘要
本文回顾性地分析了我院12年间收治644侧糖尿病巾并发各种临床类型感染237例。感染发生率为36.8％。以呼吸道感染最为常见,其次为尿路感染、胆道感染、结核病等。引起感染的病原体以革兰阴性细菌为多(占73.25％),其中尤以肺炎杆菌、大肠杆菌最为多见,其次为绿脓杆菌、金黄色葡萄球菌、硝酸盐阴性杆菌。本文将导致糖尿病并发感染的众多危险因素,进行Logistic回归模型分析,确定了手术、血酮阳性、年龄≥60岁、血糖值≥13.9mmol/L(250mg/dl)等为危险因素。
Six hundred forty-four patients of diabetes mellitus admitted to the Huashan Hospital from July 1976 to December 1988 were analysed. Among them 237 were complicated by infections. The incidence was 36.8 percent. The most common focus of infection was the respiratory tract followed by urinary and biliary tracts and tuberculosis, etc. The most responsible pathogens were gram-negative bacilli (73.5%), among which Klebsiella pneumoniae and Escherichia coli were the most frequently occurred, and the next microorganisms were Pseudomonas aeruginosa, staphylococci and Acinetobecter anitratum, etc. With the logistic regression model analysis it was found that the significant risk factors for the development of infections in diabetes mellitus were operation, blood glucose over 250 mg/dl, positive blood ketone and over 60 years of age.
出处
《上海医学》
CAS
CSCD
北大核心
1990年第12期701-704,共4页
Shanghai Medical Journal
