摘要
目的观察留置尿管致泌尿系感染患者行膀胱尿道联合冲洗的临床效果。方法将86例长期留置尿管所致泌尿系感染患者随机分为观察组与对照组各43例。在抗感染的同时,对照组进行常规密闭式膀胱冲洗,观察组应用自行设计的膀胱尿道联合冲洗器行膀胱尿道联合冲洗。冲洗液均采用0.2%呋喃西林溶液。两组于冲洗后第3、7、10、14天上午,冲洗前用一次性注射器抽取尿液行细菌培养及高倍镜检。结果观察组第3、7、10天感染阳性率显著低于对照组(均P<0.05)。结论对留置尿管致泌尿系感染患者进行膀胱尿道联合冲洗有利于加速病菌的清除,有较好的辅助治疗作用。
Objective To observe the clinical effect of bladder and urethral combination irrigation on catheter-associated urinary tract infection.Methods Totally,86 patients with catheter-associated urinary tract infection were randomly divided into two groups with 43 cases in each group.Both groups received anti-infection therapy,additionally the control group were given conventional closed bladder irrigation,while the observation group employed a homemade device for bladder and urethral combination irrigation.The irrigation fluid was 0.2% nitrofurazone.Urine were obtained with disposable syringes before each irrigation on the 3rd,7th,10th,14th treatment day for bacterial culture and observed under a high-power microscopic field.Results The positive rates of infection on the 3rd,7th,10th treatment day were significantly lower in the observation group than the control group（P〈0.05 for all）.Conclusion Bladder and urethral combination irrigation is beneficial to accelerate bacteria elimination and has great supplemental therapeutic effect on patients with catheter-associated urinary tract infection.
关键词
留置尿管
泌尿系感染
膀胱冲洗
膀胱尿道联合冲洗
护理
indwelling catheter
urinary tract infection
bladder irrigation bladder and urethral combination irrigation
nursing care
