【摘要】：目的探究潔悠神對住院婦產(chǎn)科留置導(dǎo)尿患者泌尿系統(tǒng)感染的影響。方法選取2015年1月-12月醫(yī)院接受治療的婦產(chǎn)科住院患者5242例為研究對象,按照隨機(jī)數(shù)表將患者分為對照組和觀察組,每組2621例,對照組采用常規(guī)方法進(jìn)行尿道口護(hù)理,每天2次;觀察組在對照組的基礎(chǔ)上,聯(lián)合使用潔悠神新型長效抗菌材料噴灑于尿道口以及導(dǎo)尿管,每天2次,統(tǒng)計兩組患者置管期間膀胱尿細(xì)菌培養(yǎng)陽性例數(shù);比較兩組患者尿標(biāo)本細(xì)菌培養(yǎng)情況。結(jié)果觀察組患者留置尿管期間第3天、5天、7天尿細(xì)菌培養(yǎng)檢測出的細(xì)菌株數(shù)分別為31株占1.2%、152株占5.8%、160株占6.1%均低于對照組對應(yīng)細(xì)菌株數(shù)105株占4.0%、519株占19.8%、1064株占40.6%,差異有統(tǒng)計學(xué)意義(P0.05);觀察組患者置管期間第3天、5天、7天、14天膀胱尿細(xì)菌培養(yǎng)陽性例數(shù)分別為29例占1.1%、34例占1.3%、42例占1.6%、52例占2.0%均低于對照組對應(yīng)陽性例數(shù)63例占2.4%、81例占3.1%、97例占3.7%、105例占4.0%,兩組比較差異有統(tǒng)計學(xué)意義(P0.05);觀察組患者發(fā)生尿常規(guī)檢測結(jié)果異常52例,異常率為2.0%,低于對照組的105例異常率4.0%,病原菌檢出率低于對照組,兩組比較差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論采用潔悠神長效抗菌材料對住院婦產(chǎn)科留置導(dǎo)尿患者進(jìn)行尿道護(hù)理,能夠抑制病原微生物,降低泌尿系統(tǒng)感染率。
[Abstract]:Objective to investigate the effect of Jieyoushen on urinary tract infection in patients with indwelling catheterization in gynecology and obstetrics department. Methods 5242 patients in gynecology and obstetrics department who were treated in hospital from January to December 2015 were selected as study objects. According to the random number table, the patients were divided into control group and observation group with 2621 cases in each group. The control group was treated with routine methods for urethral orifice nursing. 2 times a day; On the basis of the control group, the observation group used Jieyoushen new long-term antibacterial material sprayed on urethral orifice and urethral catheter, twice a day, and counted the positive cases of bladder urine bacteria culture during the period of catheterization. The bacterial culture of urine samples in two groups was compared. Results in the observation group, the number of bacteria cultured in urine on the 3rd, 5th and 7th day during the period of indwelling urethral tube was 31 strains (1.2%), 152 strains (5.8%), respectively. 160 strains (6.1%) were lower than those of the control group (105 strains, 4.0%), 519 strains (19.81064) and 40.664 (P 0.05). In the observation group, 29 cases were positive for bladder urine bacterial culture on the 3rd, 5th, 7th and 14th day during the period of catheterization. 34 cases (1.1%) were positive in bladder urine culture, and 42 cases (1.6%) were bladder urine bacteria culture in the third day, 5 days, 7 days and 14 days, respectively. 52 cases (2.0%) were lower than the corresponding positive cases in the control group (63 cases, 81 cases, 3.1 cases, 97 cases, 3.7 cases, 105 cases, 4.0%). The difference between the two groups was statistically significant (P0.05). There were 52 cases of abnormal urine routine examination in the observation group, the abnormal rate was 2.0, which was lower than that of the control group (105 cases). The detection rate of pathogenic bacteria was lower than that of the control group. The difference between the two groups was statistically significant (P0.05). Conclusion the urethral nursing of the hospitalized patients with urethral catheterization can inhibit the pathogenic microorganisms and reduce the infection rate of urinary system.
【作者單位】： 三亞市婦幼保健院婦產(chǎn)科;三亞市婦幼保健院乳腺科;
【分類號】：R473.71

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