碘伏润滑预防留置尿管尿路感染的效果观察

Iodophor disinfection to prevent urinary tract infection by catheter indwelling catheter

目的观察0.5%碘伏消毒外阴及尿道口并润滑导尿管,对预防导尿和留置导尿管尿路感染的临床效果。方法将需导尿和留置导尿管的神经外科、普外科、泌尿外科患者100例,随机分为对照组50例和实验组50例。对照组用0.1%新洁尔灭消毒外阴及尿道口,用消毒石蜡油润滑导尿管进行导尿;实验组采用0.5%碘伏消毒外阴、尿道口,并用0.5%碘伏润滑尿管进行导尿。结果对照组尿路感染发生率为12%,实验组尿路感染发生率为4%,差异有显著性(P<0.05%)。结论0.5%碘伏消毒外阴及尿道口并润滑导尿管,可降低导尿和留置导尿管引起的尿路感染,减少院内感染的发生。

Objective To observe the effect of 0. 5% povidone iodine disinfection on urinary tract iniecuon. Methods 100 patients were randomly divided into control group and experimental group. The control group were treated with 0. 1% Bromogeramine disinfection on vulva and smoothed with sterile paraffin oil. The experimental group were treated with 0. 5% iodophor disinfection on vulva and smoothed with 0.5% povidone-iodine. Results The incidences of urinary tract infection in the control group and experimental group were 12% and 4% （P〈0.05 % }. Conclusions 0. 5 iodophor disinfection and lubrication of vulva and urethra catheter can reduce urinary tract infections.