[1]童禹浩,李军文,叶子翔,等.经尿道前列腺电切术后尿道感染影响因素的Meta分析[J].医学信息,2021,34(11):69-73.[doi:10.3969/j.issn.1006-1959.2021.11.021]
　TONG Yu-hao,LI Jun-wen,YE Zi-xiang,et al.Meta Analysis of Influencing Factors of Urinary Tract Infection After Transurethral Resection of the Prostate[J].Medical Information,2021,34(11):69-73.[doi:10.3969/j.issn.1006-1959.2021.11.021]
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经尿道前列腺电切术后尿道感染影响因素的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年11期
页码:
69-73
栏目:
论著
出版日期:
2021-06-01

文章信息/Info

Title:
Meta Analysis of Influencing Factors of Urinary Tract Infection After Transurethral Resection of the Prostate
文章编号:
1006-1959（2021）11-0069-05
作者:
童禹浩; 李军文; 叶子翔; 等
（1.成都中医药大学护理学院，四川 成都 610075； 2.成都市第一人民医院，四川 成都 610041）
Author(s):
TONG Yu-hao; LI Jun-wen; YE Zi-xiang; et al.
(1.School of Nursing,Chengdu University of TCM,Chengdu 610075,Sichuan,China; 2.Chengdu First People’s Hospital,Chengdu 610041,Sichuan,China)
关键词:
经尿道前列腺电切术; 尿道感染; 尿潴留; 糖尿病
Keywords:
Transurethral resection of the prostate; Urinary tract infection; Urinary retention; Diabetes
分类号:
R697+.32
DOI:
10.3969/j.issn.1006-1959.2021.11.021
文献标志码:
A
摘要:
目的 系统评价对经尿道前列腺电切除术后尿道感染的影响因素。方法 计算机检索中国知网、维普、万方数据库、中国生物医学数据库、PubMed、Cochrane Library、EMbase、Medline等数据库。检索从建库至2021年1月经尿道前列腺电切除术后尿道感染影响因素相关研究。由２名研究人员根据要求独立进行筛选文献、提取资料并进行质量评价，采用RevMan5.3软件对数据进行Meta分析。结果 共纳入24篇文献，Meta分析结果显示，经尿道前列腺电切除术后尿道感染影响因素为年龄[OR=1.64，95%CI（1.32,2.05）]、合并糖尿病[OR=2.60，95%CI（2.10,3.23）]、术前尿潴留导尿[OR=2.50，95%CI（1.73,3.61）]、术后留置导管时间[OR=2.80，95%CI（2.11,3.71）]、术前使用抗生素[OR=2.14，95%CI（1.15,3.98）]、手术时间[OR=1.96，95%CI（1.32,2.93）]、前列腺体积[OR=3.89，95%CI（1.75,8.65）]。敏感性分析显示Meta分析结果具有稳定性。结论 经尿道前列腺电切术后尿道感染影响因素为年龄、合并糖尿病、术前尿潴留导尿、术后留置导管时间、术前预防性使用抗生素、手术时间、前列腺体积，在临床工作中针对以上影响因素，需采取相关预防措施，以控制感染发生。
Abstract:
Objective To systematically evaluate the influencing factors of urinary tract infection after transurethral resection of the prostate.Methods Computer searched databases such as CNKI, Weipu, Wanfang, China Biomedical Database, PubMed, Cochrane Library, EMbase, and Medline.Retrieve the related research on the influencing factors of urinary tract infection after transurethral resection of the prostate from the establishment of the database to January 2021.Two researchers independently screened the literature, extracted data and evaluated the quality according to the requirements, and used RevMan5.3 software to conduct Meta analysis on the data.Results A total of 24 articles were included. Meta-analysis showed that the influencing factors of urinary tract infection after transurethral resection of the prostate were age [OR=1.64, 95%CI(1.32, 2.05)], combined with diabetes [OR=2.60, 95%CI(2.10, 3.23)], preoperative urinary retention and catheterization [OR=2.50, 95%CI(1.73, 3.61)], postoperative indwelling catheter time [OR=2.80, 95%CI(2.11, 3.71)],preoperative antibiotics [OR=2.14, 95%CI(1.15, 3.98)], operation time [OR=1.96, 95%CI(1.32, 2.93)], prostate volume [OR=3.89, 95%CI(1.75,8.65)].Sensitivity analysis showed that the results of Meta analysis are stable.Conclusion The influencing factors of urinary tract infection after transurethral resection of the prostate are age, diabetes, preoperative urinary retention and catheterization, postoperative indwelling catheter time, preoperative prophylactic use of antibiotics, operative time, and prostate volume.For the above influencing factors in clinical work, relevant preventive measures need to be taken to control the occurrence of infection.

参考文献/References:

[1]刘洪明,田野,苏志勇,等.前列腺总体积及移行带体积对良性前列腺增生症经尿道前列腺电切术疗效的影响[J].中华医学杂志,2021,101(2):137-141. [2]Jiang YL,Qian LJ.Transurethral resection of the prostate versus prostatic artery embolization in the treatment of benign prostatic hyperplasia:a meta-analysis[J].BMC Urol,2019,19(1):11. [3]刘和谦,陈弋生,邹滨,等.经尿道前列腺电切术严重并发症的临床分析[J].中华泌尿外科杂志,2016,37(7):515-518. [4]孙婧.经尿道前列腺电切术后尿路感染的危险因素分析与预防措施[J].护理实践与研究,2019,16(15):25-27. [5]Mamoulakis C,Efthimiou I,Kazoulis S,et al.The modified Clavien classification system:a standardized platform for reporting complications in transurethral resection of the prostate[J].World J Urol,2011,29(2):205-210. [6]张选举,江铎,熊丙建,等.经尿道前列腺电切术后并发尿路感染的相关临床影响因素研究[J].中国性科学,2017,26(4):16-19. [7]程义仙,刘水英,程慧霞,等.经尿道前列腺电切术后并发尿路感染的相关因素分析[J].中国性科学,2016,25(2):11-14. [8]宋静,张玲玲,陈蕾,等.经尿道前列腺电切术后发生尿路感染的危险因素[J].中国当代医药,2020,27(19):98-100. [9]陈高秦.经尿道前列腺电切术后发生尿路感染的危险因素分析[J].临床合理用药杂志,2015,8(30):107-108. [10]赵小佩.经尿道前列腺电切术后发生尿路感染的危险因素分析[J].中华医院感染学杂志,2013,23(12):2878-2880. [11]黄燕芬,武妍,沈琦.经尿道前列腺切除术后感染特点及相关危险因素分析[J].安徽医学,2020,41(4):443-445. [12]赵俊华,唐澜南,刘淑滢.经尿道前列腺切除术后患者泌尿系感染病原菌分布及危险因素分析[J].中华医院感染学杂志,2017,27(21):4938-4941. [13]林英立,李艳丽,戚景光,等.经尿道前列腺切除术后泌尿系感染的危险因素分析及防治措施[J].中国中西医结合外科杂志,2015,21(5):457-459. [14]陈景强,赵沨.经尿道前列腺切除术后尿路感染的危险因素及病原菌分布[J].中国感染控制杂志,2020,19(8):752-757. [15]沈玲,王旭亮,李莉.经尿道前列腺切除术后尿路感染的相关因素[J].中华医院感染学杂志,2013,23(24):6035-6037. [16]王鹏,郭小鹏,成俊.老年患者经尿道前列腺电切术后尿路感染的危险因素[J].中国老年学杂志,2016,36(4):945-946. [17]蒙承山,韦明慧,甘能中,等.良性前列腺增生患者经尿道前列腺电切术后并发尿路感染的相关因素分析[J].中外医学研究,2017,15(17):29-30. [18]王伟,耿达伟,曹沪春,等.良性前列腺增生患者经尿道前列腺电切术后并发尿路感染的相关因素分析[J].医学综述,2014,20(24):4553-4555. [19]刘兆月,严慧芳,靳珊珊,等.良性前列腺增生患者术后尿源性感染病原菌及危险因素[J].中华医院感染学杂志,2021,(01):110-113. [20]黄金丽,王晓莉,徐敏,等.良性前列腺增生患者术后尿源性感染危险因素及血清标志物的早期预测[J].中华医院感染学杂志,2021(2):254-258. [21]李峰,陈胜龙,谢喜,等.前列腺增生患者术后并发尿路感染的病原菌分布、耐药性和危险因素分析[J].现代生物医学进展,2019,19(16):3155-3159. [22]李明林,朱清,胡跃世,等.前列腺增生患者前切术后尿路感染的危险因素分析[J].中华医院感染学杂志,2016,26(14):3270-3272. [23]邓城,张健全,廖文文,等.前列腺增生患者经尿道前列腺电切术后感染的影响因素分析与防治对策[J].中国医药科学,2020,10(2):239-242. [24]胡晓泉,那新雨,赵瑜,等.前列腺增生电切术医院感染的病原学特点及影响因素[J].中华医院感染学杂志,2019,29(2):269-272. [25]Hwang EC,Yu SH,Kim JB,et al.Risk Factors of Infectious Complications after Transurethral Prostate Surgery in Patients with Preoperative Sterile Urine[J].Korean Journal of Urogenital Tract Infection&Inflammation,2013,8(1):48-57. [26]Li YH,Li GQ,Guo SM,et al.Clinical analysis of urinary tract infection in patients undergoing transurethral resection of the prostate[J].Eur Rev Med Pharmacol Sci,2017,21(20):4487-4492. [27]Hwang EC,Jung SI.A prospective Korean multicenter study for infectious complications in patients undergoing prostate surgery:risk factors and efficacy of antibiotic prophylaxis[J].J Korean Med Sci,2014,29(9):1271-1277. [28]Huang X,Shi HB,Wang XH,et al.Bacteriuria after bipolar transurethral resection of the prostate:risk factors and correlation with leukocyturia[J].Urology,2011,77(5):1183-1187. [29]Rassweiler J,Teber D,Kuntz R,et al.Complications of transurethral resection of the prostate(TURP)——incidence,management,and prevention[J].Eur Urol,2006,50(5):969-980. [30]王镜美,赖宗浪,余雨枫,等.肿瘤患者PICC血流感染影响因素的Meta分析[J].右江民族医学院学报,2020,42(5):624-629. [31]胡小波,汤庆峰.输尿管软镜钬激光碎石术后并发尿脓毒血症的危险因素分析[J].中国全科医学,2020,23(S1):86-88. [32]Schneeberger C,Erwich J,Van Den Heuvel ER,et al.Asymptomatic bacteriuria and urinary tract infection in pregnant women with and without diabetes:Cohort study[J].Eur J Obstet Gynecol Reprod Biol,2018,222(1):176-181. [33]Pastore AL,Mariani S,Barrese F,et al.Transurethral Resection of Prostate and the Role of Pharmacological Treatment with Dutasteride in Decreasing Surgical Blood Loss[J].Journal of Endourology,2013,27(1):68-70. [34]Nevins EJ,Nevins EG,Moori PL,et al.Urethral Catheterization Is Not Necessary During Nononcological Laparoscopic Pelvic Surgery[J].J Patient Saf,2019,15(4):e21-e23. [35]Watts RE,Hancock V,Ong CL,et al.Escherichia coli isolates causing asymptomatic bacteriuria in catheterized and noncatheterized individuals possess similar virulence properties[J].J Clin Microbiol,2010,48(7):2449-2458. [36]柯磊磊,疏仁义,张启旺,等.经尿道前列腺双极等离子电切术后尿白细胞阳性相关因素分析[J].中国性科学,2019,28(9):11-14. [37]Cheng H,Chen BP,Soleas IM,et al.Prolonged Operative Duration Increases Risk of Surgical Site Infections:A Systematic Review[J].Surg Infect(Larchmt),2017,18(6):722-735. [38]Han C,Song Q,Ren Y,et al.Dose-response association of operative time and surgical site infection in neurosurgery patients:A systematic review and meta-analysis[J].Am J Infect Control,2019,47(11):1393-1396.

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更新日期/Last Update: 1900-01-01