摘要
目的 探讨尿道冲洗对导尿管相关性尿路感染的影响。方法 选择80例需作留置导尿的男性患者,导尿前均无泌尿系感染症状、尿培养阴性。按入院顺序分为4组,每组20例。A组尿道冲洗用金银花水煎液,B组尿道冲洗用5%聚维酮碘,C组尿道冲洗用等渗盐水,D组未进行尿道冲洗。在留置导尿3 d、7 d时作尿液细菌培养;留置导尿7 d拔除导尿管,作导尿管细菌培养。结果 留置导尿3 d时,A组尿培养无阳性,B组和D组、C组和D组,以及A、B、C 3组间比较无统计学意义。留置导尿7 d时,A、B、C 3组尿培养和导尿管培养阳性率均较D组低,差异有统计学意义(P<0.05),而A、B、C 3组间比较,差异无统计学意义。结论 尿道冲洗可降低导尿管相关性尿路感染的发生率。
Objective To study the effect of urethral irrigation on catheter-associated urinary tract infection.Method Select 80 male patients indwelling catheter without urethral infection and are negative in urine culture before catheterization.Divide them into 4 groups（n=20） according to hospitalizing order.Patients in group A receive urethral irrigation by Flos lonicerae leachate.Patients in group B receive urethral irrigation by 5% povidone iodine.Patients in group C receive urethral irrigation by isotonic saline.Patients in group D receive no urethral irrigation.Urinary bacterial culture is performed 3 d and 7 d after indwelling catheter.Remove catheter 7 d after indwelling and perform catheter bacterial culture.Result Infection rate of group A 3 d after indwelling catheter is 0.There is no significant difference between group B and group D,group C and group D,group A,B and C.Positive rates of urinary culture and catheter culture 7 d after indwelling catheter of group A,B and C are higher than the rate of group D.The difference is significant（P〈0.05）.There is no significant difference between group A,B and C.Conclusion Urethral irrigation can reduce the rate of catheter-associated urinary tract infection.
出处
《护理与康复》
2010年第7期555-557,共3页
Journal of Nursing and Rehabilitation
关键词
留置导尿
尿路感染
尿道冲洗
Indwelling catheter
Urinary tract infection
Urethral irrigation
