肾移植受者留置导尿更换集尿袋的时机  

Replacing Time of Urine-collecting Bags in Allogenic Kidney Transplantation Recipient

作　　者：李燕娥[1] 杨浣情[1] 刘丽娟[1] 

机构地区：[1]广东省人民医院肾移植科,广东广州510080

出　　处：《中华医院感染学杂志》2008年第8期1104-1105,共2页Chinese Journal of Nosocomiology

基　　金：广东省医学科研基金立项资助项目(A2005038)

摘　　要：目的探讨肾移植受者留置导尿更换集尿袋时机。方法采用排除标准选出2006年1-12月行同种异体肾移植手术的受者52例，随机数字法分组并于术后第2～8天进行尿培养后更换集尿袋，对尿培养结果进行分析。结果术后第2～5天尿培养未检出菌落，分别于术后第6、7、8天的尿液中各检出1、3、4株菌落；所有检出菌落的病例中男性5例、女性3例，其中18-30岁1例、31-40岁2例、41～50岁3例、51～60岁2例。结论肾移植受者留置导尿更换一次性集尿袋的最佳时间为术后第5天；肾移植受者尿液培养结果与年龄、性别无关。OBJECTIVE To investigate the appropriate time of replacing urine-collecting bags in allogenic kidney transplantation recipient with indwelling catheter. METHODS A total of 52 patients, accepted allogenic kidney transplantation from Jan to Dec 2006, were investigated. At 2 to 8 days after operation, the urine was collected for bacterial culture and then the urine-collecting bags changed. RESULTS There was no pathogen detected at 2 to 5 days after operation. There were 1, 3 and 4 strains detected at 6, 7 and 8 days after operation, respectively. Among the patients detected with pathogen, there were 5 males and 3 females. And there was 1 case of 18 to 30 years old, 2 cases of 31 to 40 years old, 3 cases of 41 to 50 years old, and 2 cases of 51 to 60 years old. CONCLUSIONS The appropriate time of replacing urine-collecting bags of allogenic kidney transplantation recipient is the fifth day after operation. There is no correlation between the results of urine culture and age or sex.

关 键 词：肾移植 留置导尿 一次性集尿袋 

分 类 号：R181.32[医药卫生—流行病学]