急性细菌性腹膜炎的护理与预防措施  

Nursing and prevention measures for acute bacterial peritonitis

作　　者：何娇[1] 张文美[1] 周悦[1] 

机构地区：[1]杭州市第一人民医院普外科

出　　处：《中华医院感染学杂志》2013年第4期801-802,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨急性细菌性腹膜炎的细菌学特征和护理措施,以提高疗效。方法 98例急性细菌性腹膜炎随机分为观察组和对照组,观察组采用严格护理,对照组采用一般护理,观察两组细菌学疗效。结果 98例患者分离出革兰阴性菌43株占43.9%,革兰阳性菌55株占56.1%;分布最多的细菌为金黄色葡萄球菌、溶血性链球菌和大肠埃希菌,分别占24.5%、18.4%和18.4%;观察组和对照组细菌清除率分别为83.0%和64.4%,差异有统计学意义(P<0.05)。结论了解急性细菌性腹膜炎的细菌学特征,并采用严格的护理措施,能明显改善预后。OBJECTIVE To explore the bacteriological features of acute bacterial peritonitis and put forward the nursing measures so as to improve the therapeutic effect.METHODS A total of 98 patients with acute bacterial peritonitis were divided into the investigation group and the control group.The investigation group was treated with the strict nursing,the control group with the general care,and the bacteriological effect between the two groups was compared.RESULTS A total of 98 strains of bacteria were isolated from the 98 patients,including 43（43.9%） of strains of gram-negative bacteria and 55（56.1%） strains of gram-positive bacteria.The Staphylococcus aureus,Streptococcus hemolytic and Escherichia coli were the most common species of bacteria,accounting for 24.5%,18.4% and 18.4%,respectively.The bacterial clearance rate was 83.0% in the investigation group,higher than 64.4% in the control group,the difference was statistically significant（P0.05）.CONCLUSION The understanding of the bacteriological features of acute bacterial peritonitis and the implementation of strict nursing measures can significantly improve the prognosis.

关 键 词：急性腹膜炎 细菌 护理 细菌学疗效 

分 类 号：R181.32[医药卫生—流行病学]