论文部分内容阅读
目的探究洁悠神对住院妇产科留置导尿患者泌尿系统感染的影响。方法选取2015年1月-12月医院接受治疗的妇产科住院患者5242例为研究对象,按照随机数表将患者分为对照组和观察组,每组2621例,对照组采用常规方法进行尿道口护理,每天2次;观察组在对照组的基础上,联合使用洁悠神新型长效抗菌材料喷洒于尿道口以及导尿管,每天2次,统计两组患者置管期间膀胱尿细菌培养阳性例数;比较两组患者尿标本细菌培养情况。结果观察组患者留置尿管期间第3天、5天、7天尿细菌培养检测出的细菌株数分别为31株占1.2%、152株占5.8%、160株占6.1%均低于对照组对应细菌株数105株占4.0%、519株占19.8%、1064株占40.6%,差异有统计学意义(P<0.05);观察组患者置管期间第3天、5天、7天、14天膀胱尿细菌培养阳性例数分别为29例占1.1%、34例占1.3%、42例占1.6%、52例占2.0%均低于对照组对应阳性例数63例占2.4%、81例占3.1%、97例占3.7%、105例占4.0%,两组比较差异有统计学意义(P<0.05);观察组患者发生尿常规检测结果异常52例,异常率为2.0%,低于对照组的105例异常率4.0%,病原菌检出率低于对照组,两组比较差异有统计学意义(P<0.05)。结论采用洁悠神长效抗菌材料对住院妇产科留置导尿患者进行尿道护理,能够抑制病原微生物,降低泌尿系统感染率。
Objective To explore the effects of JYU on urinary tract infections in hospitalized obstetrics and gynecology patients with catheterization. Methods 5242 inpatients with obstetrics and gynecology admitted from January 2015 to December 2015 in our hospital were selected as the research 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 by routine method Mouth care twice a day; the observation group in the control group based on the combination of the new long-lasting antimicrobial material Jueyou spray in the urethra and urethral catheter twice a day, statistics of two groups of patients during catheterization bladder urinary bacterial culture Positive cases; urine samples from two groups of patients compared bacterial culture. Results In the observation group, the number of bacteria detected in urine culture on the 3rd, 5th and 7th day during urinary catheterization were 31 strains accounting for 1.2%, 152 strains accounting for 5.8% and 160 strains accounting for 6.1%, respectively, which were lower than that of the control group 105 strains of bacteria accounted for 4.0%, 519 strains accounted for 19.8%, 1064 strains accounted for 40.6%, the difference was statistically significant (P <0.05); observation group patients during catheterization 3 days, 5 days, 7 days, 14 days bladder The positive cases of urine bacterial culture were 29 cases accounted for 1.1%, 34 cases accounted for 1.3%, 42 cases accounted for 1.6%, 52 cases accounted for 2.0% were lower than the control group corresponding positive cases 63 cases accounted for 2.4%, 81 cases accounted for 3.1 %, 97 cases accounted for 3.7%, 105 cases accounted for 4.0%, the difference between the two groups was statistically significant (P <0.05); the observation group of patients with abnormal urinalysis results in 52 cases, the abnormal rate was 2.0%, lower than the control group 105 cases of abnormal rate of 4.0%, the detection rate of pathogens lower than the control group, the difference between the two groups was statistically significant (P <0.05). Conclusion The use of long-lasting anti-bacterial Jieu God material in hospital obstetrics and gynecology indwelling urethral catheterization, can inhibit the pathogenic microorganisms, reduce the urinary tract infection rate.