全科护理2024，Vol.22Issue(8)：1393-1397,5.DOI:10.12104/j.issn.1674-4748.2024.08.002
上尿路结石术后并发双J管相关性尿路感染列线图风险预测模型的构建
Construction of a risk prediction model for postoperative double J tubule-associated urinary tract infection in patients with upper urinary tract stones
摘要
Abstract
Objective:To explore the risk factors of postoperative double J tubule-associated urinary tract infection in patients with upper urinary tract stones,and to construct the risk prediction model of the Nomogram.Methods:A total of 216 patients with upper urinary tract stones and double J tube indwelling admitted to a third grade A general hospital from July 2020 to June 2022 were retrospectively collected.The patients were divided into infected group and non-infected group according to whether double-J-tubule-associated urinary tract infection occurred.The risk factors of postoperative double-J-tubule-associated urinary tract infection in patients with upper urinary tract stones were analyzed by univariate analysis and Logistic regression,and the risk prediction model of the Nomogram was constructed and the practical effectiveness of the model was evaluated.Results:There were 29(13.43％)patients with upper urinary tract stones complicated by double J tubule-associated urinary tract infection after operation.Logistic regression analysis showed that diabetes mellitus,neutrophil to lymphocyte ratio(NLR)and the degree of hydronephrosis were independent risk factors for postoperative double J tubule-associated urinary tract infection in patients with upper urinary tract stones.The internal verification results of the Nomogram risk prediction model showed that the Hosmer-Lemeshow test x2=6.981,P=0.639,and the area under the ROC curve was 0.853[95％CI(0.774,0.934)].Conclusions:The constructed Nomogram risk prediction model has a good early warning effect,which provides a basis for medical staff to identify the high-risk population of double J tubule-associated urinary tract infection after upper urinary tract stones operation,and take effective preventive measures in time to reduce the incidence of infection.关键词
上尿路结石/双J管/尿路感染/列线图/预测模型/中性粒细胞与淋巴细胞比值Key words
upper urinary tract stones/double J tube/urinary tract infection/Nomogram/prediction model/neutrophil to lymphocyte ratio引用本文复制引用
杨澜,李先辉,邢业英,田宏艳,袁子璇,谭秀娟,刘娟..上尿路结石术后并发双J管相关性尿路感染列线图风险预测模型的构建[J].全科护理,2024,22(8):1393-1397,5.基金项目
吉首大学校级科研项目,编号:Jdy22090 （）
湖南省卫健委科研项目,编号:D202314058479. （）
