摘要
目的观察冲洗液对泌尿科室患者术后引流管逆行感染的预防作用。方法选择医院2011年8月-2012年1月泌尿科收治的68例泌尿系疾病手术后留置引流管患者,随机分为冲洗液组和对照组,每组各34例;对照组患者采用常规护理措施,冲洗液组在常规护理的基础上,在留置导管部位推注0.9%氯化钠冲洗液,收集两组患者术后24、48、72h的引流液进行细菌培养,观察细菌阳性率,评价冲洗液的预防效果。结果冲洗液组与对照组引流液细菌培养阳性分别为4、18例,阳性率为11.76%、52.94%,两组比较差异有统计学意义(χ2=13.42,P<0.05);冲洗液组有2例大肠埃希菌感染,对照组有13例大肠埃希菌感染。结论采用0.9%氯化钠冲洗液对术后留置引流管进行冲洗,明显降低了逆行感染细菌的发生率,且操作简便,值得临床推广。
OBJECTIVE To observe the role for flushing fluid in the prevention of drainage tube tract infections for urology patients. METHODS A total of 68 cases of patients with urinary system disease who were treated in the urology department from Aug 2011 to Jan 2012 and were undertaken the indwelling the drainage tube were enrolled in the study and were randomly divided into the lavage group and the control group with 34 cases in each. The control group was taken with conventional dressing and care measures, and the lavage group was taken with 0.9 % NaCl for the drainage intubation site on the basis of conventional care. The bacterial culture for the drainage fluid was respectively performed 24 hours, 48 hours, and 72 hours after the treatment, the positive rate of the bacteria was observed, and the effect of flushing fluid was evaluated. RESULTS There were 4 （11.76%） cases in the lavage group with the drainage fluid cultured positive and 18 （52.94%） cases in the control group cultured positive ,the difference between the two groups was statistically significant （χ2= 13.42, P〈0.05）. There were 2 cases with Escherichia coli infections in the lavage group, 13 cases in the control group. CONCLUSION The 0.9 % NaCl flushing liquid used for flushing the indwelling drainage tube can significantly reduce the incidence of retrograde bacterial infections, with the operation simple, it is worthy of the promotion in clinical application.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第10期2410-2411,共2页
Chinese Journal of Nosocomiology
关键词
冲洗液
泌尿科
引流管
逆行感染
Flushing fluid
Urology department
Drainage tube
Retrograde infection
