膀胱冲洗对预防小儿术后留置尿管感染的临床研究  

Clinical investigation on bladder douching to prevent detained catheter infection in post-operative children

作　　者：张成英[1] 余良英[1] 何英[1] 钟敏[1] 樊咏梅[1] 

机构地区：[1]重庆医科大学儿童医院

出　　处：《护理研究（下半月）》2005年第1期148-149,共2页

摘　　要：[目的 ]探讨膀胱冲洗对预防小儿术后留置尿管尿路感染的临床价值。 [方法 ]选择 10 0例 1岁～ 14岁行尿道、会阴手术的患儿 ,按入院先后顺序分成观察组和对照组各 5 0例 ,观察组采用 0 .0 2 %呋喃西林液每日冲洗膀胱 1次 ,对照组不予膀胱冲洗。观察两组患儿术后伤口愈合情况 ,并在术后第 3天、第 7天取尿标本行尿常规、12hAddis细胞计数、细菌培养检查。 [结果 ]两组患儿术后切口均无感染 ,第 3天、第 7天尿常规、Addis细胞计数、细菌培养结果异常发生率比较差异无统计学意义 (P >0 .0 5 )。[结论 ]膀胱冲洗对预防小儿术后尿路感染意义不大 ,如无尿管阻塞应尽量避免膀胱冲洗。Objective: to probe into bladder douching on prevent detained catheter infection in post-operative children. Method: a total of 100 patients aged from 1 to 14 years old underwent urethra or perineum surgery were selected and divided into test and control group according to the sequence number of admission, 50 cases each. Patients in test group were given daily bladder douching with 0.02% Furacilin solution. While patients in control group were given nothing. Then the incisions of all patients were observed. And the urine were collected on the third day and the seventh day after operation for urine routine analysis, 12 hours Addis cell counting and germiculture respectively. Result: there was no postoperative incision infection among all patients of the two groups. And there was no statistic difference in urine routine, Addis cell counting and germiculture on the third and the seventh postoperative day among them (P>0.05). Conclusion: bladder douching had little effect on preventing urinary tract infection for postoperative patients underwent urethra or perineum surgery. Bladder douching should not be performed in these postoperative patients unless one had urinary tract obstruction.

关 键 词：膀胱冲洗 尿路感染 预防 

分 类 号：R473.72[医药卫生—护理学]