现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2013年
4期
34-36
,共3页
留置尿管%老年男性患者%尿路感染%壳聚糖
留置尿管%老年男性患者%尿路感染%殼聚糖
류치뇨관%노년남성환자%뇨로감염%각취당
indwelling urethral catheters%elderly and male patients%urinary tract infection%chitosan
目的 探讨今福生壳聚糖抗菌成膜喷剂在预防老年男性患者留置尿管后尿路感染发生的作用.方法 将80例留置尿管的老年男性患者,按入院先后次序分为实验组和对照组,每组各40例.对照组按常规用生理盐水棉球清洁尿管表面与患者尿道口,2次/d,实验组用今福生壳聚糖抗菌成膜喷剂喷洒于尿管表面与患者尿道口,2次/d.比较两组患者留置尿管后第3、5、7 d膀胱内尿液标本细菌培养的差异.结果 留置尿管后第5 d和第7 d,实验组患者尿细菌培养阳性率均低于对照组,两组比较,均P<0.05,差异具有统计学意义.两组患者无1例发生不良反应.结论 今福生壳聚糖抗菌成膜喷剂喷洒于留置尿管表面与患者尿道口,可降低老年男性患者留置尿管后尿路感染的发生率,值得临床推广应用.
目的 探討今福生殼聚糖抗菌成膜噴劑在預防老年男性患者留置尿管後尿路感染髮生的作用.方法 將80例留置尿管的老年男性患者,按入院先後次序分為實驗組和對照組,每組各40例.對照組按常規用生理鹽水棉毬清潔尿管錶麵與患者尿道口,2次/d,實驗組用今福生殼聚糖抗菌成膜噴劑噴灑于尿管錶麵與患者尿道口,2次/d.比較兩組患者留置尿管後第3、5、7 d膀胱內尿液標本細菌培養的差異.結果 留置尿管後第5 d和第7 d,實驗組患者尿細菌培養暘性率均低于對照組,兩組比較,均P<0.05,差異具有統計學意義.兩組患者無1例髮生不良反應.結論 今福生殼聚糖抗菌成膜噴劑噴灑于留置尿管錶麵與患者尿道口,可降低老年男性患者留置尿管後尿路感染的髮生率,值得臨床推廣應用.
목적 탐토금복생각취당항균성막분제재예방노년남성환자류치뇨관후뇨로감염발생적작용.방법 장80례류치뇨관적노년남성환자,안입원선후차서분위실험조화대조조,매조각40례.대조조안상규용생리염수면구청길뇨관표면여환자뇨도구,2차/d,실험조용금복생각취당항균성막분제분쇄우뇨관표면여환자뇨도구,2차/d.비교량조환자류치뇨관후제3、5、7 d방광내뇨액표본세균배양적차이.결과 류치뇨관후제5 d화제7 d,실험조환자뇨세균배양양성솔균저우대조조,량조비교,균P<0.05,차이구유통계학의의.량조환자무1례발생불량반응.결론 금복생각취당항균성막분제분쇄우류치뇨관표면여환자뇨도구,가강저노년남성환자류치뇨관후뇨로감염적발생솔,치득림상추엄응용.
Objective To investigate the effect of chitosan antibacterial material JFS on prevention of catheter-associated urinary tract infections in male patients.Methods Eighty male patients with indwelling urethral catheter were divided randomly into two groups(treatment group and control group).The urethral orifices in the control group were treated with normal saline conventionally twice a day,while those in the treatment group by spraying the long-acting chitosan antibacterial material JFS on them twice a day in addition to the conventional treatment.Results There was no significant difference in the morbidity of urinary tract infection between the two groups 3 days after indwelling catheter(P>0.05).While the morbidity of urinary tract infection in the treated group during catheterization was significantly smaller than that in the control group 5 days and 7days after indwelling catheter(P<0.05). Conclusion The long-acting chitosan antibacterial material sprayed on the wall of catheter and urethral orificemay effectively reduce the incidence of urinary tract infection.