何科;袁林静;牛刚;尧冰;瞿虎;

• 1:中山大学附属第一医院妇产科
• 2:中山大学附属第六医院泌尿外科

摘要(Abstract)：

目的 探讨宫颈癌根治术后尿路感染危险因素及感染病原学特点，为临床制定预防措施提供理论依据。方法 回顾性分析2020年3月-2022年3月中山大学附属第一医院妇产科收治的135例宫颈癌根治术患者的临床资料，将发生尿路感染的51例患者纳入感染组，未发生尿路感染的84例患者纳入未感染组。探究宫颈癌根治术后尿路感染病原学特点，单因素及多因素Logistic回归分析宫颈癌根治术后尿路感染危险因素。结果 51例尿路感染患者中段尿标本共培养出81株病原菌，主要为革兰阴性菌(65.43%);感染组年龄>60岁、患高血压、糖尿病、插管次数>2次、术后尿潴留患者占比均高于未感染组(P<0.05),手术时间、住院时间、尿管留置时间均较未感染组延长(P<0.05);多因素Logistic回归分析结果显示，年龄>60岁、糖尿病、术后尿潴留、尿管留置及住院的时间均为宫颈癌根治术后尿路感染的独立危险因素(P<0.05)。结论 宫颈癌根治术后尿路感染患者检出病原菌以革兰阴性菌为主，尿路感染的危险因素包括年龄>60岁、糖尿病、术后尿潴留、住院时间长、尿管留置时间长，临床可据此给予患者针对性的抗菌治疗及干预措施，以减少尿路感染的发生。

关键词(KeyWords)： 宫颈癌;宫颈癌根治术;尿路感染;危险因素;干预措施

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金(8170100302)

作者(Authors): 何科;袁林静;牛刚;尧冰;瞿虎;

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