CAJ | 학술논문

目的探讨加味龙胆泻肝汤在ICU留置尿管患者会阴护理中的应用效果.方法将60例ICU留置尿管患者随机分为对照组和观察组各30例,对照组采用温水和0.05％碘伏进行会阴护理,观察组采用中药方剂加味龙胆泻肝汤煎剂进行会阴护理.结果观察组会阴护理后7d尿培养细菌阳性率2例,明显低于对照组7例,会阴部无发生湿疹及不适症状,会阴部异味评分明显低于对照组,两组比较,差异有统计学意义(P＜0.05,P＜0.01).结论加味龙胆泻肝汤用于ICU留置尿管患者会阴护理,可降低留置尿管逆行感染及会阴部湿疹发生率,促进患者舒适,提高留置尿管患者会阴护理质量.
목적 탐토가미룡담사간탕재ICU류치뇨관환자회음호리중적응용효과.방법 장60례ICU류치뇨관환자수궤분위대조조화관찰조각30례,대조조채용온수화0.05％전복진행회음호리,관찰조채용중약방제가미룡담사간탕전제진행회음호리.결과 관찰조회음호리후7d뇨배양세균양성솔2례,명현저우대조조7례,회음부무발생습진급불괄증상,회음부이미평분명현저우대조조,량조비교,차이유통계학의의(P＜0.05,P＜0.01).결론 가미룡담사간탕용우ICU류치뇨관환자회음호리,가강저류치뇨관역행감염급회음부습진발생솔,촉진환자서괄,제고류치뇨관환자회음호리질량.
Objective To explore the efficacy of flavored Longdan in perineal care of ICU patients indwelled catheter.Methods 60 ICU patients indwelled catheters were randomly divided into a control group and an observation group,30 cases for each group.The control group were perineally cared with warm water and 0.05％ povidone-iodine,while the observation group with flavored Longdan.Results After the care,2 cases were bacterially positive in day 7 urine culture in the observation group,and 7 in the control group; no case occurred perineal eczema; the perineal bad smell score was lower in the observation group than in the control group; with statistical differences(P ＜ 0.05,P ＜ 0.01).Conclusions Flavored Longdan in perineal care of ICU patients indwelled catheters can lower the incidences of retrograde infection and perineal eczema,make the patients comfortable,and improve the quality of perineal care.