经尿道前列腺切除术后聚维酮碘膀胱灌注预防尿路感染的研究
发布时间:2018-01-25 11:23
本文关键词: 经尿道前列腺切除术 尿路感染 聚维酮碘 膀胱灌注 临床效果 出处:《中华医院感染学杂志》2015年12期 论文类型:期刊论文
【摘要】:目的探讨经尿道前列腺切除术后尿路感染的原因,并观察采用0.25%聚维酮碘膀胱灌注预防的效果,以期提高临床诊治水平。方法选取2010年2月-2014年1月106例经尿道前列腺切除术后感染患者为研究对象,分析术后感染的危险因素,将感染患者分成对照组和观察组,每组各53例,对照组采用生理盐水灌注,观察组采用0.25%聚维酮碘膀胱灌注治疗,观察治疗后相关指标变化。结果对照组患者术后第1天白细胞升高、拔管后尿培养阳性、拔管后尿白细胞≥10/HP发生率分别为50.94%、24.53%、22.64%,观察组分别为35.85%、18.87%、13.20%,两组比较差异有统计学意义(P0.05);经logostic多因素分析显示,糖尿病、术前留置导尿、术前未应用抗菌药物是造成术后尿路感染的危险因素,差异有统计学意义(P0.05),而与年龄、高血压病无关。结论聚维酮碘膀胱灌注能有效地预防治疗尿道前列腺切除术后尿路感染发生率,且安全性高。
[Abstract]:Objective to investigate the causes of urinary tract infection after transurethral prostatectomy and to observe the effect of 0.25% povidone iodine on the prevention of urinary tract infection. Methods 106 patients with infection after transurethral prostatectomy were selected from February 2010 to January 2014 to analyze the risk factors of postoperative infection. The infected patients were divided into control group and observation group with 53 cases in each group. The control group was perfused with normal saline and the observation group was treated with 0.25% povidone iodine intravesical perfusion. Results in the control group, the leukocyte increased on the first day after extubation, and the urine culture was positive after extubation. The incidence of urinary leukocyte 鈮,
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