糖尿病合并感染及其高危因素分析

目的分析糖尿病并发感染的临床类型及其高危因素，为提高糖尿病合并感染的预防和临床诊治水平提供依据。方法收集检索中国医科大学附属第一临床医院收治的糖尿病合并感染患者的病历资料，对感染类型及感染的危险因素进行回顾性分析。结果178例糖尿病患者中，61人次合并感染，感染率为34．3％。其中女性糖尿病患者合并感染发生率为42．9％，明显高于男性的感染发生率（26．6％）；年龄≥60岁者合并感染率（57．9％）明显高于〈60岁者（33．8％）和〈50岁者（21．2％）；空腹血糖≥11．1mmol／L者合并感染率（48．1％）明显高于空腹血糖〈11．1mmol／L者（28．2％）。感染部位以泌尿系统、呼吸系统、皮肤及软组织为主，分别占感染的36．1％、24．6％和18．0％。结论随着年龄的增长、病程的延长及血糖的升高，感染的发生率也随之升高。对糖尿病早期诊断，有效控制血糖是预防和减少感染发生的有效措施。

Analysis of the risk factors of infection among patients with diabetes mellitus

Objective To investigate the inter-relationship among diabetes with infection.Method The affection of sex,age,disease course,blood glucose level and other complications were analyzed retrospectively based on the cases of hospitalized patients.The clinical characteristics and the risk factors of complicated infection with diabetic mellitus were analyzed.Result The infection rate increased with patients′ age,disease course and plasma glucose level.Conclusion Early diagnosis and effective control of blood glucose level can prevent occurrence of infection and reduce its severity.