多功能防逆流引流接头在预防导尿管相关性尿路感染中的应用

发布时间：2018-06-09 04:03

本文选题：导尿管插入术 + 多功能防逆流引流接头　；参考：《中华护理杂志》2017年07期

【摘要】：目的探讨自制的多功能防逆流引流接头在长期留置导尿管患者中对导尿管相关性尿路感染的预防效果。方法选择2013年1月—2015年12月泸州市10所养老院内留置导尿管的男性老年人100例,随机分为试验组和对照组,每组50例。两组留置相同的导尿管,试验组连接带有多功能防逆流引流接头的引流袋;对照组连接一次性普通引流袋。分别采集两组留置导尿管后第7、14、21、28天导尿管和引流袋内尿液作细菌培养;记录两组留置导尿管后第7、14、21、28天内导尿管堵管例数和两组第28天导尿管结壳例数。结果试验组在各观察日导尿管内菌尿例数明显少于对照组,且少于本组引流袋内菌尿例数,差异具有统计学意义(P0.05);两组在各观察日内导尿管堵管例数差异无统计学意义(P0.05);试验组第28天导尿管结壳例数明显少于对照组,差异具有统计学意义(P0.05)。结论多功能防逆流引流接头能有效阻止细菌随尿液反流和沿导尿管壁上行,减少导尿管结壳,能有效预防导尿管相关性尿路感染的发生。
[Abstract]:Objective to investigate the preventive effect of self-made multi-function anti reflux drainage joint in urethral catheter related urinary tract infection in patients with long-term indwelling catheter. Methods 100 male elderly patients with indwelling catheter in 10 nursing homes in Luzhou from January 2013 to December 2015 were randomly divided into a test group and a control group, with 50 cases in each group and two groups of indwelling phase. With the same catheter, the experimental group was connected with the drainage bag with multi-function anti flow drainage joint; the control group was connected with one time ordinary drainage bag. After two groups of indwelling catheter, the urinary catheter and the urine of the drainage bag were cultured for 7,14,21,28 days, and the number of two groups of catheter plugging cases and two groups were recorded in two groups of catheter after indwelling catheter. Results the number of urinary catheter crusts for twenty-eighth days was a number of cases. Results the number of bacteriuria in the urinary catheter in the experimental group was significantly less than that in the control group, and the number of bacteriuria in the drainage bag was less than that in the group (P0.05); the number of catheter blocking cases in the two groups was not statistically significant (P0.05), and the number of catheter crusts in the test group for twenty-eighth days was clear. The difference was significantly less than that of the control group (P0.05). Conclusion the multifunction anti current drainage joint can effectively prevent the bacteria from reflux and the catheter wall along the catheter, reduce the catheter crusts, and can effectively prevent urinary tract infection related to urinary tract.
【作者单位】：西南医科大学附属医院泌尿外科;
【基金】：四川省卫生厅项目(120339) 泸州医学院重点项目(2014ZD-008)
【分类号】：R472

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