摘要
目的将生理性膀胱冲洗与被动性膀胱冲洗对脊柱损伤患者留置尿管相关性尿路感染的预防效果进行比较分析,探讨膀胱冲洗预防尿路感染的有效性。方法收集骨科2010年3-12月脊髓损伤住院患者共83例,将主动增加饮水量的患者作为观察组(生理性膀胱冲洗),未增加饮水量者作为对照组(被动性膀胱冲洗),对各组尿路感染率进行比较分析。结果对照组感染率为63.0%,观察组感染率为32.4%,两组感染率差异有统计学意义(P<0.05);观察组每日饮水量2000ml组,感染率为61.5%,2500ml组为28.6%,3000ml组为10.0%,结果显示,每日保持饮水>2000ml对预防尿路感染有重要意义。结论对于住院脊髓损伤留置导尿患者,积极地增加每日饮水量,进行生理性膀胱冲洗比被动性膀胱冲洗法预防尿路感染效果好。
OBJECTIVE To compare the preventive effects of the passive bladder irrigation and physical bladder irrigation on catheter-associated urinary tract infection in patients with spinal injury. METHODS A total of 83 patients with spinal injury admitted to our hospital from Mar,2010 to Dec,2010 were studied,The water intake（physical bladder irrigation） and those who refused were selected as contrast group（passive bladder irrigation）,then the infection rates of each group were compared and analyzed. RESULTS The infection rate of the control group（63.0%）was significantly higher than that of study group（32.4%）,the difference was statistically significantl（P〈0.05）.The water intake was 2000ml with the infection rats of 61.5%,2500ml of 28.6%,3000ml of 10.0%,to keep water intake had great signifilance to the prevention of urinarg trau infection. CONCLUSION For patients with spinal injury who underwent urinary tract catheterization,it shows a more effective method to prevent catheter-associated urinary tract infection by physical bladder irrigation than traditional passive bladder irrigation.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第22期4712-4713,共2页
Chinese Journal of Nosocomiology
关键词
脊髓损伤
留置尿管
膀胱冲洗
尿路感染
Spinal injury
Indwelling catheter
Bladder irrigation
Urinary tract infection
