尿道下裂患儿术后尿道分泌物细菌学特点分析与对策  

Bacteriological Character of Urethral Secretion of Children Patients with Hypospadia after Operation and Nursing Intervention

作　　者：韩天娥[1] 李守林[1] 邓志梅[1] 陈芳芳[1] 

机构地区：[1]深圳市儿童医院,广东深圳518026

出　　处：《护理学报》2010年第9期58-60,共3页Journal of Nursing（China）

摘　　要：目的分析尿道下裂患儿术后尿道分泌物的细菌学特点,以提出针对性的护理措施。方法2008年10月—2009年8月收治尿道下裂手术患儿32例,分别于术后第1、第3、第5天采集尿道支架管分泌物进行细菌培养,统计患儿尿道分泌物细菌培养阳性例数及细菌种类,记录发生尿瘘、感染和尿道狭窄的情况。结果术后第1天20例患儿细菌培养阳性,其中大肠埃希菌16例,金黄色葡萄球菌3例,阴沟肠杆菌1例;术后第3天6例患儿细菌培养阳性,其中大肠埃希菌5例,金黄色葡萄球菌1例;术后第5天1例患儿细菌培养阳性,为金黄色葡萄球菌。本组术后发生尿瘘3例,尿道狭窄5例,有临床症状的感染1例。结论尿道下裂术后感染的细菌主要是肠道菌,术后采用有针对性的药物治疗、肠道护理和尽早护理支架是提高手术成功率的有效措施。Objective To explore the bacteriological character of urethral secretion of children patients with hypospadia after operation,to put forward nursing intervention.Methods There were 32 cases of hypospadias undergoing surgical treatment from Oct.2008 to Aug.2009.Urethral Secretion was collected for germiculture at the 1st,3rd and 5th day after operation respectively,and urinary fistula,infection and urethrostenosis were recorded.Results Among 32 cases of hypospadias,there were 20 gemiculture positive cases at the 1st day after operation,Escherichia coli 16 cases,staphylococcus aureus 3 cases,and Enterobacter cloacae 1 case.On the other hand,there were 6 gemiculture positive cases at the 3rd day after operation,and only one case positive bacterial culture at the 5th day after operation.Among all patients,there were 3 cases complicating urinary fistula,5 cases urethrostenosis,and one clinical infection after operation.Conclusion The bacterial infection of hypospadia after operation is mainly caused by intestinal bacteria.Pertinent treatment and nursing may improve operation success rate of hypospadia.

关 键 词：尿道下裂 分泌物 细菌学 护理 

分 类 号：R473.72[医药卫生—护理学]