剖宫产术孕妇麻醉前后留置导尿管致尿路感染的调查分析  

Research and analysis on urinary infections caused by catheterization before and after anesthesia of cesarean operation pregnant women

作　　者：沈丽娟[1] 支彩英[1] 刘秀俊[1] 章静[1] 

机构地区：[1]杭州市第一人民医院手术室,浙江杭州310006

出　　处：《中华医院感染学杂志》2014年第3期723-724,727,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生科技基金资助项目(2011KYB064)

摘　　要：目的对孕妇剖宫产麻醉前后留置导尿管致尿路感染进行对比,从而选择孕妇留置导尿的最佳时期,以降低医院感染率。方法选择2013年1月-3月280例待行剖宫产的孕妇,将其随机分为观察组和对照组,每组各140例,观察组为麻醉前留置导尿管,对照组为麻醉后进行留置导尿管,比较两组剖宫产孕妇留置导尿管后尿道刺激感及感染率。结果观察组140例孕妇留置导尿后发生尿道刺激感有120例,发生率85.71%,发生尿路感染者有9例,感染率6.43%;对照组140例孕妇留置导尿后发生尿道刺激感有5例,发生率3.57%,发生尿路感染者有3例,感染率2.14%。结论对行剖宫产手术的孕妇留置导尿时应选择在麻醉后进行留置,可明显减少孕妇的尿道刺激感,并减少医院感染率。OBJECTIVE To compare urinary infections caused by catheterization before and after anesthesia for cesarean operation pregnant women, in order to select the best timing of catheterization for pregnant women and thus reduce nosocomial infection rates. METHODS A total of 280 cases of pregnant women who need cesarean from Jan. to Mar. 2013 were selected and randomly divided into two groups, 140 cases each for observation group and control group respectively. In the observation group, urethral catheter was indwelled before anesthesia, while the control group after anesthesia. The irritation and infection rate between the two groups were compared after the urethral catheter was indwelled. RESULTS Among 140 cases in the observation group, 120 cases had urethral irritation after indwelling urinary catheter, accounting for 85.71~; A total of 9 cases had urinary tract infection, the infection rate was 6.43%. Among 140 cases in the control group, 5 cases had urethral irritation after indwell- ing urinary catheter, accounting for 3.57%. A total of 3 cases had urinary tract infection, the infection rate was 2.14%. CONCLUSION For pregnant women of caesarean operation, catheterization should be indwelled after anesthesia, which can significantly reduce urethral irritation and nosocomial infection rates.

关 键 词：剖宫产术 麻醉 留置导尿 感染率 

分 类 号：R691.3[医药卫生—泌尿科学]