摘要
烧伤病人留置尿管时，尿路感染的发生率较高。作者随机抽取５３例留置尿管病人，２７例（治疗组）用氯霉素眼膏作润滑剂，贮尿袋内注入庆大霉素；２６例（对照组）采用一般护理法。然后对尿道外口分泌物、尿管、贮尿管内尿液取样，进行细菌培养。结果留置尿管１１天后治疗组感染率为２２．２２％，对照组为６１．５４％，经统计学处理χ２＝６．８９，Ｐ＜０．０１。从检出的细菌种类中，大肠杆菌、绿脓杆菌、黄绿色链球菌、金黄色葡萄球菌多见。
patientswithindwelingcatheterwererandomlydividedintotwogroups.27patientsintreatmentgroupweregivenchloromycetinoint mentaslubricantandgentamycininjectedintourinebags.26patientsincon trolgroupweregivengeneralnursingcare.Thenthesecretionofouterure thralorifice,thecathetersandtheurineinbagswerecultivatedforbacteria.Theresultsshowedthat11dayslater,theinfectiverateintreatmentandcontrolgroupwas22.22%and61.54%respectively.χ2=6.89,P<0.01.ThemainbacterialfoundinthesepatientswereEscherichiacoli,Pseu domonasaeruginosa,Streptococcusviridans,andStyphylococusaureus.
关键词
烧伤
留置尿管
庆大霉素
尿路感染
Burn,Indwelingcatheter,ChloromycetinOintment,Gen tamycin,Urinaryinfection,Bacterium,Infectiverate
