洁悠神与碘伏对预防留置尿管伴随性尿路感染的效果比较  

Comparison of the efficacy of jieyoushen and lodophor in preventing urinary tract infection due to indwelling catheter

作　　者：梁本胜[1] 宋真[1] 袁媛[1] 王春霞[1] 梅花[1] 张巧云[1] Liang Bensheng;Song Zhen;Yuan Yuan;Wang Chunxia;Mei Hua;Zhang Qiaoyun(Department of Urology Surgery,the First Affiliated Hospital of Anliui Medical University(National Clinical Specialist)(Hefei City)230022)

机构地区：[1]安徽医科大学第一附属医院泌尿外科(国家临床重点专科),合肥230022

出　　处：《中国社区医师》2017年第16期145-146,共2页Chinese Community Doctors

摘　　要：目的:探讨洁悠神与碘伏对预防留置尿管伴随性尿路感染的应用效果。方法:将75例留置尿管患者随机分为对照组34例和观察组41例。对照组采用0.5%碘伏擦洗尿道口、龟头、包皮、尿道口近端5 cm处尿管、集尿袋与尿管接口处、集尿袋出口处;观察组采用抗菌剂洁悠神喷洒上述同一部位。比较两组患者留置尿管尿液培养结果以及尿道口周围皮肤不良刺激、舒适度、患者依从性、操作等。结果:洁悠神与碘伏对预防留置导尿管伴随性尿路感染的影响差异并无统计学意义(P>0.05)。结论:用洁悠神替代碘伏进行尿管护理,对患者皮肤无不良刺激,无不良反应,操作简单、方便,患者依从性好,舒适度佳,而且不增加尿路感染的发生率。Objective:To investigate the efficacy of jieyoushen and lodophor in preventing urinary tract infection due to indwellingcatheter.Methods:75patients with indwelling catheter were randomly divided into the control group(n=34)and the observationgroup(n=41).In the control group,0.5%iodophor was used to clean the urethra,the glans penis,the prepuce,the urethral catheter atthe proximal end of the urethral orifice at5cm,and the outlet of the urine bag.The observation group used the antimicrobial jieyoushento spray the same site.The results of urine culture in patients with indwelling catheter,skin irritation around the urethralorifice,comfort,patient compliance,operation,and so on were compared.Results:There was no significant difference in the effect ofjiuyoushen and iodine in the prevention of indwelling catheter(ureteral infection)with urinary tract infection(P>0.05).Conclusion:Nursing of urinary catheter with jieyoushen instead of iodophor,there is no adverse reaction to the patient's skin,no adverse reaction,simple and convenient operation,good compliance,comfort,and do not increase the incidence of urinary tract infection.

关 键 词：洁悠神 留置尿管伴随性尿路感染 尿管护理 

分 类 号：R472[医药卫生—护理学]