【摘要】 目的 分析老年2型糖尿病患者合并尿路感染(尿感)的临床特点。方法 老年2型糖尿病患者合并尿路感染31例和同期非糖尿病合并尿路感染44例及无尿路感染的老年2型糖尿病患者38例进行比较。结果 前者血糖控制不良：空腹血糖、餐后2h血糖及糖化血红蛋白均高于糖尿病组(P<0.05),慢性并发症多见(P<0.05)。与尿感组比较，病程明显长于非糖尿病合并尿感组(P<0.05)，无症状性尿感发生率高于单纯尿感组(P<0.05)，肾功能受损程度高于尿感组(P<0.05)。结论 良好的血糖控制是预防糖尿病合并尿路感染的关键，并使之得到有效的控制。

    【关键词】 老年2型糖尿病； 尿路感染 ；临床特点

    Clinical study on diabetes mellitus type 2 combining with urinary tract infection in old patient

    FANG Qi.Zhoupu Hospital,Shanghai 201318,China

    【Abstract】 Objective To analyses the clinical features of diabetes mellitus type 2 combining with urinary tract infection in old patient.Methods Comparing 31 cases of diabetes mellitus type 2 combining with urinary tract infection in old patient and 44 cases of urinary tract infection and 38 cases of diabetes mellitus type 2.Results The former group’s glucose is abnormal that the level of fasting blood glucose,postprandial blood glucose (2 hours) and HbAlC is higher than that of the urinary tract infection group(P<0.05).Furthermore,its complication of chronic diseases is more common (P<0.05).As the result,it has much more longer course of disease(P<0.05),more serious renal function impaired(P<0.05),and higher positive rate of urinary tract infection without symptom compared with urinary tract infection group(P<0.05).Conclusion Effective control of glucose is the key of diabetes mellitus and urinary tract infection prevention. ......