Analysis of influencing factors of septic shock caused by puncture biopsy in patients with prostate cancer
LI Meixi;JU Mingming;AN Ruihua;Department of Urology, the First Affiliated Hospital of Harbin Medical University;
Objective To study the factors influencing the occurrence of septic shock in patients with prostate cancer after puncture biopsy. Method 92 cases of prostate cancer patients were retrospectively analyzed, according to the occurrence of septic shock, these patients were stratified as septic shock group(n=9) and normal group(n=83), respectively,the factors influencing the occurrence of septic shock induced by prostate puncture biopsy were investigated by univariate analysis and multivariate Logistic regression analysis. Result Of the 92 patients, 9(9.78%) had septic shock, and 12 strains of pathogens were detected, which mainly was Escherichia coli. The univariate analysis showed that, the occurrence of septic shock in patients with prostate cancer after puncture biopsy was related to age, combined diabetes mellitus, combined prostate infection, combined urinary tract infection, APACHE score and multiple puncture(P0.05). Multivariate Logistic regression analysis indicated that age, combined prostate infection, combined urinary tract infection and APACHE scores were independent risk factors for septic infection(P0.05). Conclusion Age, combined prostate infection, combined urinary infection, and APACHE score are independent risk factors of septic shock caused by puncture biopsy for prostate cancer, and thus the preoperative, intraoperative and postoperative work should be strengthened in order to reduce the incidence of septic shock.
【CateGory Index】： R737.25