Establishment and application of urinary tract infection early warning scoring system in patients with bladder perfusion chemotherapy after bladder cancer surgery
膀胱癌术后膀胱灌注化疗患者相关尿路感染预警评分系统的建立及应用

摘要

目的 分析探讨膀胱癌术后膀胱灌注化疗患者相关尿路感染预警评分系统的建立及应用。方法 回顾本科室 2018年 1月至 2020年 12月所有膀胱癌患者1000例为观察对象，将患者分为两组，尿路感染组与非尿路感染组，收集两组患者的相关数据，查找膀胱癌术后膀胱灌注患者发生尿路感染的主要危险因素，由统计学专家协助分 析数据，包括各维度、各项目的赋分，形成尿路感染预警评分模型。结果 logistic回归分析单变量模型分析显示，年龄、导尿管留置时间、膀胱冲洗时间、灌注次数、糖尿病等与膀胱癌患者灌注化疗后尿路感染有关，P<0.01。结论 相关尿路感染预警评分系统的建立能为目前膀胱癌术后膀胱灌注治疗模式的选择，除临床禁忌症外，提供有效的、客观的选择依据的问题。

Abstract

Objective: To analyze the establishment and application of urinary tract infection early warning scoring system in patients with bladder perfusion chemotherapy after bladder cancer surgery.
Methods: Review undergraduate course room between January 2018 and December 2020, all 1000 cases of bladder cancer patients as observation objects, divided the patients into two groups, urinary tract infection and urinary tract infection group, collect the relevant data of two groups of patients for bladder cancer in patients with postoperative bladder perfusion major risk factors for urinary tract infection, by experts to assist the analysis of statistics data, It included assigning scores of all dimensions and items to form an early warning scoring model of urinary tract infection.
Results: Univariate logistic regression analysis showed that age, catheter indwelling time, bladder flushing time, times of perfusion and diabetes were related to urinary tract infection after chemotherapy in patients with bladder cancer, P<0.01.
Conclusion  : The establishment of the related urinary tract infection early warning scoring system can provide an effective and objective basis for the selection of bladder perfusion therapy mode after bladder cancer surgery, in addition to clinical contraindications.