摘要
目的探讨预防留置导尿管患者逆行感染(UTIC)的有效方法。方法将124例留置导尿管>7 d的病人随机分为观察组和对照组各62例,观察组和对照组分别应用济安舒能和0.5%碘伏棉球消毒做置管期间的尿道口护理,定期尿细菌培养比较两组治疗效果。结果总的UTIC发生率,观察组明显低于对照组(P<0.01);置管一周内两组UTIC发生率有显著性差异(P<0.05);置管两周内两组UTIC发生率有显著性差异(P<0.05);置管两周以上两组UTIC发生率无显著性差异(P>0.05),但两组随着留管时间的延长UTIC发生率均表现出升高的趋势。结论使用济安舒能外用喷剂做留置导尿管护理,能有效地预防和降低UTIC的发生,其护理操作简便,经济实惠,具有实际临床应用价值。
Objective To investigate the effective method against the catheter-associated urinary tract infection. Method 124 patients with indwelled catheters for more than 7 days were randomly divided into two groups. There were 62 patients in each group, 62 cases in experimental group used JiAnShuNeng nursing the external orifice of urethra during the indwelling catheter period. The rest patients in control group used 0.5% Iodophors solution nursing the external orifice of urethra, The therapeutic effects for the two groups were compared according to the results of bacteria cultures. Results The total rate of UTIC in experimental group was much lower than that in control group （P〈0.01）. Positive rates of bacteria cultures in the time of catheter retained 7. 14 days were significant difference between the two groups（P〈0.05）. There were not significant difference between the two groups in the time of catheter retained more than 2 weeks （P〉0.05）. It was also found that the rate of UTIC was significantly correlated with the time in the two groups. As the time of indwelling catheter increased, the rate of UTIC increased. Conclusion Using JiAnShuNeng can prevent the UTIC. It is worth widely applying in clinical nursing practice.
出处
《护士进修杂志》
北大核心
2005年第11期979-981,共3页
Journal of Nurses Training
关键词
济安舒能
留置导尿管
逆行感染
预防
JiAnshuNeng
Indwelling catheter
Retrograde infection
Prevention
