预防骨盆骨折术后尿道损伤患者医院感染中西医结合治疗疗效分析

发布时间：2018-06-15 18:39

本文选题：骨盆骨折 + 尿道损伤　；参考：《中华医院感染学杂志》2015年04期

【摘要】：目的探讨中西医结合治疗预防骨盆骨折术后尿道损伤患者发生医院感染的临床疗效,为减少患者发生医院感染提供依据。方法选取医院2011年6月-2013年6月收治的骨盆骨折术后尿道损伤患者96例进行分析,按照临床试验随机将患者分为对照组和观察组,每组各48例,所有患者均采用手术治疗,对照组术后采用常规的治疗,观察组在此基础上配合中药进行治疗,观察两组患者医院感染发生率以及治疗后效果,所有数据均采用SPSS17.0软件分析。结果观察组患者导尿次数、导尿管保留时间、排便时间、住院时间分别为(5.7±1.3)次、(14.6±13.4)h、(12.2±4.8)h和(6.2±2.8)d,显著短于对照组的(12.7±4.3)次、(33.1±13.9)h、(25.2±5.2)h和(14.3±3.7)d,两组比较差异有统计学意义(P0.05);观察组48例患者有6例发生医院感染,感染率为12.5%,对照组发生医院感染13例,感染率为27.1%,两组比较,差异有统计学意义(P0.05)。结论中西医结合治疗骨盆骨折术后尿道损伤,显著降低了患者导尿管使用次数和天数,缩短了患者卧床时间,降低了医院感染的发生率,值得临床推荐。
[Abstract]:Objective to explore the clinical effect of integrated traditional Chinese and western medicine in the prevention of nosocomial infection in patients with urethral injury after pelvic fracture operation, and to provide evidence for reducing nosocomial infection. Methods from June 2011 to June 2013, 96 patients with urethral injury after operation of pelvic fracture were analyzed. According to the clinical trial, the patients were randomly divided into control group (n = 48) and observation group (n = 48). All patients were treated by operation. The patients in the control group were treated with routine therapy, and the patients in the observation group were treated with traditional Chinese medicine. The incidence of nosocomial infection and the effect after treatment were observed. All the data were analyzed by SPSS 17.0 software. Results in the observation group, the times of urinary catheterization, the retention time of urethral catheter, the time of defecation, The length of hospitalization was 14.6 卤13.4 hours and 6.2 卤2.8 days, respectively, which was significantly shorter than that of the control group (12.7 卤4.3), 33.1 卤13.9 hours and 14.3 卤3.7 days, respectively. The difference between the two groups was statistically significant (P 0.05), there were 6 cases with nosocomial infection in the observation group, and 13 cases with nosocomial infection in the control group, and there were significant differences between the two groups in the nosocomial infection (n = 6), nosocomial infection (n = 13), nosocomial infection (n = 13) and nosocomial infection in the control group (n = 13). The infection rate was 27.1%, and the difference between the two groups was statistically significant (P 0.05). Conclusion the treatment of urethral injury after pelvic fracture with combination of traditional Chinese and western medicine can significantly reduce the number and days of urethral catheter use, shorten the time of bed rest and reduce the incidence of nosocomial infection, which is worthy of clinical recommendation.
【作者单位】：诸城市人民医院泌尿外科;诸城市人民医院眼科;诸城市人民医院过敏免疫科;
【基金】：山东省博士后专项基金资助项目(201103137)
【分类号】：R683.3

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