探讨神经外科导尿管相关性尿路感染的发生因素与预防干预措施  

Discuss the Factors and Prevention Interventions of Catheter Associated Urinary Tract Infections in Neurosurgical

作　　者：马官英[1] 赵德龙[2] 喻陆[2] 

机构地区：[1]中国人民解放军总医院神经外科一病区,北京100853 [2]中国人民解放军第305医院神经外科,北京100017

出　　处：《医学研究杂志》2014年第11期42-45,共4页Journal of Medical Research

基　　金：国家自然科学基金资助项目(81370452)

摘　　要：目的 探讨针对神经外科患者留置导尿管所引发相关性尿路感染的发生原因,以及临床预防护理干预措施与效果.方法 选取2012年3月～ 2014年3月笔者医院神经外科留置导尿管的患者126例,依据双盲随机分组将样本分为对照组与干预组各63例,两组患者均给予神经外科常规护理干预,干预组患者增加留置导尿管并发症的相关护理措施.结果 两组中尿路感染发生率集中于高龄、女性、意识障碍与导尿管时间＞10天的患者中,其发生率均高于自身指标中的其他情况者,差异均具有统计学意义（P ＜0.05,P＜0.01）.干预组患者的导尿管留置时间为4.36±1.12天,尿路感染发生率为3.2％,护理总满意率为96.8％,均优于对照组,差异有统计学意义（P＜0.05）.结论 年龄、意识、性别以及留管时间均为神经外科患者引发导尿管相关性尿道感染的主要危险因素,临床开展针对并发症预防的相关护理干预可降低并发症的发生率.Objective To look for reasons for catheter associated urinary tract infections of neurosurgical patients,and research of effective preventive measures.Methods Totally 126 cases of indwelling catheter patients in neurosurgery were selected.They were randomly divided into control group and intervention group with 63 cases in each.The patients in the control group were treated with routine care,and those in the intervention group were treated with increased complications nursing.Results The incidence of urinary tract infections in both groups focused on the patients of elderly,women,unconsciousness and catheterization time ＞ 10 days.In the intervention group,indwelling catheter time was 4.36 ± 1.12 days,the incidence of urinary tract infections was 3.2％,nursing satisfaction was 96.8％,were better than the control group,with statistical significance（P ＜ 0.05）.Conclusion The main risk factors of urinary tract infections were age,consciousness,gender,and remaining time.The complications preventive nurse can reduce the incidence of complieations.

关 键 词：神经外科 导尿管 尿路感染 护理干预 

分 类 号：R69[医药卫生—泌尿科学]