摘要
目的探讨膀胱冲洗与非冲洗对留置导尿患者尿液细菌培养及致病菌分布的影响。方法收集因颅脑损伤而需要留置导尿患者109例,随机分为冲洗组与非冲洗组,冲洗组每天用1∶5 000呋喃西林液300 ml冲洗膀胱1次,非冲洗组不做冲洗处理。两组患者分别于导尿后第1、3、5、7、9和11天行中段尿液细菌培养检查。结果两组病人尿液细菌阳性率之间无显著性统计学差异,但构成有所不同。结论膀胱冲洗不能有效地预防或降低长期留置导尿病人尿菌阳性率,同时可增加新的感染菌种。
Objective To investigate the effects on patient＇s urinary bacteria culture and pathogenous bacteria distribution by bladder washing underwent indwelling urethral catheters. Method 109 patient＇s with indwelling urethral catheters due to cerebral severity were randomly divided into two groups, bladder washing and non-washing group. The patients in the washing group received bladder washing once a day using 300mL of 1 ： 5 000 Furacillin solution, patient＇s in non-washing group did not bladder washing. Meanwhile, the urine of these patient＇s was collected and cultured in the first, the third, the fifth, the seventh, the ninth and eleventh day indwelling urethral catheters for bacteria cultures respectively. Result There was no significant difference in the positive rate of bacteria cultures, but the constitution of bacteria in urine was different between the two groups. Conclusion Bladder washing does not decrease the positive rate of the urinary bacteria culture for patients underwent indwelling urinary catheter. Conversely. it results in novel infective bacteria in urine.
出处
《护士进修杂志》
北大核心
2007年第10期873-875,共3页
Journal of Nurses Training
关键词
留置导尿
泌尿道感染
护理
Indwelling urethral catheter Urinary tract infection Nursing care
