老年经尿道前列腺电切术后发生全身炎症反应综合征的影响因素

顾擎; 王锡智; 赵晳萍

doi:10.7619/jcmp.20212166

老年经尿道前列腺电切术后发生全身炎症反应综合征的影响因素

Influencing factors of systemic inflammatory response syndrome after transurethral resection of prostate in elderly patients

摘要

摘要:
目的分析老年经尿道前列腺电切术（TURP）后发生全身炎症反应综合征（SIRS）的影响因素。
方法将TURP后未发生SIRS的30例前列腺病变患者设为无SIRS组，TURP后发生SIRS的30例前列腺病变患者设为SIRS组。比较2组患者的基线资料。采用单因素及多因素回归分析探讨前列腺病变患者TURP后发生SIRS的影响因素。
结果 SIRS组与无SIRS组的年龄、糖尿病情况、术前尿亚硝酸盐阳性、留置导尿管时间、手术时间比较，差异均有统计学意义（P < 0.05）。单因素和多因素回归分析结果显示，老年前列腺病变患者年龄高、合并糖尿病、术前尿亚硝酸盐阳性、手术时间长、留置导尿管时间>3 d均是TURP后发生SIRS的影响因素（OR>1，P < 0.05）。
结论老年TURP后SIRS的发生受患者年龄、合并糖尿病、术前尿亚硝酸盐、手术时间、留置导尿管时间的影响，可针对各项危险因素实施针对性的SIRS防治措施。

Abstract:
Objective To analyze the influencing factors of systemic inflammatory response syndrome (SIRS) after transurethral resection of the prostate (TURP) in the elderly patients.
Methods A total of 30 prostatic lesion patients without SIRS after TURP were selected as non-SIRS group, and 30 prostatic lesion patients with SIRS after TURP were selected as SIRS group. The baseline materials of the two groups were compared. Univariate and multivariate regression analyses were used to explore the influencing factors of SIRS after TURP in patients with prostate lesions.
Results There were significant differences in age, diabetes, positive result of preoperative urinary nitrite, indwelling time of catheter and operation time between the SIRS group and the non-SIRS group (P < 0.05). Univariate and multivariate regression analyses showed that older age, diabetes, positive result of preoperative urinary nitrite, long operation time and indwelling time of catheter more than 3 days were the influencing factors of SIRS after TURP (OR>1, P < 0.05).
Conclusion The occurrence of SIRS after TURP in elderly patients is affected by age, diabetes, preoperative urinary nitrite, operation time and indwelling time of catheter. Targeted SIRS prevention and treatment measures can be carried out according to various risk factors.

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