摘要
目的研究分析重症高血压脑出血患者导尿管相关尿路感染(CAUTI)的危险因素及干预措施。方法以万载县人民医院2018年1月—2020年12月收治的80例重症高血压脑出血患者为研究对象,在对患者进行治疗中,发生CAUTI患者12例,未发生CAUTI患者68例,研究影响患者CAUTI的危险因素。结果CAUTI组以及非CAUTI组患者性别、体质量指数对比,差异无统计学意义(P>0.05);2组患者的年龄、血脂异常、住院时间、留置管时间、抗生素使用时间、集尿袋更换时间、导尿管更换时间、前列腺增生对比,差异有统计学意义(P<0.05);通过对患者发生CAUTI的多因素分析,年龄、血脂异常、住院时间、留置管时间、抗生素使用时间、集尿袋更换时间、导尿管更换时间、前列腺增生均是造成患者发生CAUTI的危险因素。结论针对血脂异常、前列腺增生、较长住院时间、留置管时间、抗生素使用时间、集尿袋更换时间、导尿管更换时间长的患者,及时对患者开展有针对性护理,改善患者的预后。
Objective To study the risk factors and intervention measures of CAUTI in patients with severe hypertensive intracerebral hemorrhage.Methods Taking 80 patients with severe hypertensive intracerebral hemorrhage treated in Wanzai County hospital from January 2018 to December 2020 as the research object,12 patients with CAUTI and 68 patients without CAUTI were treated.The differences of general data between the two groups were compared to study the risk factors affecting CAUTI.Results There was no significant difference in gender and body mass index between CAUTI group and non CAUTI group(P>0.05).There was significant difference in age,dyslipidemia,length of hospital stay,days of indwelling tube,use of antibiotics,replacement time of urine collection bag,replacement time of urinary catheter and prostate growth between the two groups(P<0.05).Through the multivariate analysis of patients with age,CAUTI,dyslipidemia,length of hospital stay,days of indwelling tube,use of antibiotics,replacement time of urine collection bag,replacement time of urinary catheter and benign prostatic hyperplasia are all the risk factors of patients with CAUTI.There were significant differences in the use of antibiotics,the replacement time of urine collection bag,the replacement time of urinary catheter and benign prostatic hyperplasia(P<0.05).Conclusion Through the multivariate analysis of patients with CAUTI,dyslipidemia,length of hospital stay,days of indwelling tube,use of antibiotics,replacement time of urine collection bag,replacement time of urinary catheter and benign prostatic hyperplasia are all the risk factors of patients with CAUTI.
作者
欧阳外兴
朱云
孔丽娟
Ouyang Waixing;Zhu Yun;Kong Lijuan(The Wanzai County People's Hospital,Wanzai,Jiangxi 336100;The Wanzai County Hospital of Traditional Chinese Medicine,Wanzai,Jiangxi 336100)
出处
《基层医学论坛》
2023年第25期14-16,119,共4页
The Medical Forum
关键词
高血压脑出血
重症患者
CAUTI
危险因素
干预措施
Hypertensive intracerebral hemorrhage
Critical patients
CAUTI
Risk factors
Intervention measures
