CAJ | 학술논문

目的：探讨不同导尿管外固定方式对女性留置导尿患者CA‐菌尿症的影响，为临床女性留置导尿患者选择最佳导尿管外固定方式提供依据。方法选取2013年3～12月择期手术女患者88例，按导尿先后顺序随机分为胶布固定组（A组）29例、气囊尿管外固定囊固定组（B组）31例和三腔二囊导尿管组（C组）28例，比较各组患者留置导尿期间CA‐菌尿症发生情况。结果B组、C组患者的CA‐菌尿症发生率均低于A组（P＜0．05），B组、C组患者的CA‐菌尿症发生率差异无显著意义（P＞0．05）。结论用气囊尿管外固定囊行导尿管外固定，或用三腔二囊导尿管导尿者，用其外气囊和无菌纱布行导尿管外固定，可以避免导尿管移动，能有效降低CA‐菌尿症的发生。
목적：탐토불동도뇨관외고정방식대녀성류치도뇨환자CA‐균뇨증적영향，위림상녀성류치도뇨환자선택최가도뇨관외고정방식제공의거。방법선취2013년3～12월택기수술녀환자88례，안도뇨선후순서수궤분위효포고정조（A조）29례、기낭뇨관외고정낭고정조（B조）31례화삼강이낭도뇨관조（C조）28례，비교각조환자류치도뇨기간CA‐균뇨증발생정황。결과B조、C조환자적CA‐균뇨증발생솔균저우A조（P＜0．05），B조、C조환자적CA‐균뇨증발생솔차이무현저의의（P＞0．05）。결론용기낭뇨관외고정낭행도뇨관외고정，혹용삼강이낭도뇨관도뇨자，용기외기낭화무균사포행도뇨관외고정，가이피면도뇨관이동，능유효강저CA‐균뇨증적발생。
Objective To investigate the effect of different ways of catheter external fixation for female patients with indwelling catheter on CA‐bacteriuria disease ,and to provide effective basis for the best catheter external fixa‐tion .Method 88 patients with period selective surgery were elected during the period from November 2012 to August 2013 and randomly divided into tape fixed group of 35 cases (group A) ,air bag catheter external fixation posterior fixed group (group B) 35 cases and three‐cavity two‐balloon catheter group 35 cases (group C) according to the or‐der urethral catheterization .The patients’ CA‐ bacteriuria disease occurrence during the period of indwelling ure‐thral catheterization was compared between groups .Result The CA ‐bacteriuria disease incidences in group B and group C were lower than that in group A (P<0 .05) ,there was no significant difference in CA‐bacteriuria disease incidence between group B and group C (P>0 .05) .Conclusion Air bag tube of urine bursa catheter external fixation or three‐cavity two‐balloon catheter urethral catheterization with its external airbags and sterile gauze catheter exter‐nal fixation can avoid catheter moving and effectively reduce the CA‐bacteriuria disease occurs .