CAJ | 학술논문

目的：观察护理干预对令皮欣预防宫颈癌根治术后留置尿管尿路感染的效果影响，以期改善患者的生活质量。方法选取220例首次行宫颈癌根治术的子宫颈癌患者，入院后随机分为对照组和观察组各110例，对照组患者行宫颈癌根治术、常规留置导尿管后，给予氯己定常规护理措施，观察组在此基础上加用令皮欣喷雾剂，2次/d。比较2组患者留置导尿管后第3天、第7天、第10天及第14天拔除导尿管的尿路感染发生率；比较2组患者治疗后阴道分泌物持续时间及阴道分泌物结痂的发生率；比较2组患者用药部位灼热、瘙痒等过敏反应的发生率。结果观察组患者在留置导尿管第3天、第7天、第10天以及第14天拔除导尿管的尿路感染发生率均显著低于对照组（P ＜0．05）；对照组患者阴道分泌物持续时间为（23．78±3．74）d，显著高于观察组（6．52±1．09）d，差异有统计学意义（P ＜0．01）；对照组患者阴道分泌物结痂的发生率显著高于观察组（P ＜0．05）；观察组患者用药部位灼热、瘙痒等过敏发生率高于对照组，但2组比较差异无统计学意义（P ＞0．05）。结论对行宫颈癌根治术的子宫颈癌患者给予令皮欣护理干预，能够显著降低留置尿管后尿路感染的发生率，缩短阴道分泌物持续时间，降低阴道分泌物结痂发生率，改善患者生活质量，值得在临床推广应用。
목적：관찰호리간예대령피흔예방궁경암근치술후류치뇨관뇨로감염적효과영향，이기개선환자적생활질량。방법선취220례수차행궁경암근치술적자궁경암환자，입원후수궤분위대조조화관찰조각110례，대조조환자행궁경암근치술、상규류치도뇨관후，급여록기정상규호리조시，관찰조재차기출상가용령피흔분무제，2차/d。비교2조환자류치도뇨관후제3천、제7천、제10천급제14천발제도뇨관적뇨로감염발생솔；비교2조환자치료후음도분비물지속시간급음도분비물결가적발생솔；비교2조환자용약부위작열、소양등과민반응적발생솔。결과관찰조환자재류치도뇨관제3천、제7천、제10천이급제14천발제도뇨관적뇨로감염발생솔균현저저우대조조（P ＜0．05）；대조조환자음도분비물지속시간위（23．78±3．74）d，현저고우관찰조（6．52±1．09）d，차이유통계학의의（P ＜0．01）；대조조환자음도분비물결가적발생솔현저고우관찰조（P ＜0．05）；관찰조환자용약부위작열、소양등과민발생솔고우대조조，단2조비교차이무통계학의의（P ＞0．05）。결론대행궁경암근치술적자궁경암환자급여령피흔호리간예，능구현저강저류치뇨관후뇨로감염적발생솔，축단음도분비물지속시간，강저음도분비물결가발생솔，개선환자생활질량，치득재림상추엄응용。
Objective To observe influence of nursing intervention on the effect of Ling-pixin in the prevention of urinary tract infection of indwelling urinary catheter in radical hysterecto-my so as to improve the quality of life of patients.Methods 200 patients with first radical hys-terectomy were equally divided into control group and observation group.The patients in the con-trol group were given radical hysterectomy,and were given conventional nursing measures with Chlorhexidine after indwelling catheter.The patients in the observation group were added the Lingpixin spray twice a day based on the treatment in the control group.The incidence of urinary tract infection on the third day,the seventh day and the tenth day after indwelling catheter and the fourteenth day taking off the catheter were compared in the two groups.The occurrence rate of du-ration time of vaginal secretion after treatment and scab of vaginal discharge was compared in the two groups.The occurrence rate of allergic reactions such as itching and hot sensation in the ad-ministration site was compared.Results The incidence rate of urinary tract infection of the pa-tients in the observation group after catheter on the third day,the seventh day,the tenth day and the fourteenth day was significantly lower than that in the control group(P <0.05).The duration time of vaginal secretion of patients in the control group was (23.78±3.74)d,which was higher thanthat in the observation group (6 .5 2 ± 1 .0 9 )d ,the difference was statistical significant (P <0.01).The incidence rate of scab of vaginal discharge of patients in the control group was significantly higher than that in the observation group (P <0.05).The occurrence rate of allergic reactions such as itching and hot sensation in the administration site of patients in the control group was higher than that in the observation group,the difference was not statistical significant (P >0.05).Conclusion The Lingpixin nursing intervention for the patients with radical hys-terectomy could significantly reduce the incidence rate of urinary tract infection after indwelling urinary catheter,shorten the duration time of vaginal secretion,reduce the scab of vaginal dis-charge and improve quality of life of patients,so it is worthy of widely application in clinic.