抗返流引流袋在卧床老年患者中的应用

Application of anti-reflux drainage bag in bedridden elderly patients

目的观察抗返流引流袋在长期卧床患者中的应用。方法将96例长期卧床的需留置导尿管的老年患者分为两组,一组为使用一次性尿袋每天更换1次(对照组),另一组为抗返流引流袋每7天更换1次(观察组),在相同天数下或拔除尿管前用无菌注射器按无菌原则抽吸法采集两组患者的尿液进行细菌培养。结果对照组的细菌阳性率较高,观察组的细菌阳性率较低,差异有统计学意义(P<0.05)。结论留置导尿管患者使用一次性引流袋每天更换增加了感染机会,用抗返流引流袋每7天更换一次,不仅节省了护士的工作量、护理时间,还减少医院用于废弃物品的处理费用,减少环境污染。

Objective To observe the application of anti-reflux drainage bag in bedridden patients. Methods Ninety- six cases of bedridden elderly patients in need of indwelling catheter were divided into two groups. Patients in one group used disposable urine bag changed daily （control group）, while patients in the other grou~ used anti-reflux drainage bag changed every seven day （observation group）. Urine samples of the two groups were collected with sterile syringe under sterile principle after the same number of days or before catheter removal for bacterial culture. Results Bacterial positive rate was significantly higher in control group than that of observation group, the difference was sta- tistically significant （P 〈 0.05）. Conclusion The use of disposable drainage bag changed every day in indwelling catheter patients increases the chances of infection, while the use of anti-reflux drainage bag replaced once every sev- en days not only saves the workload of nurses and nursing time, but also reduces processing costs of discarded items and reduces environmental pollution.