抗返流尿袋在神经内科的应用与观察

The Application of Anti-reflux Urine Bag in Department of Neurology and Its Observation

目的探讨抗返流尿袋与普通一次性尿袋在神经内科临床应用中的效果比较。方法选取52例神经内科留置尿管的患者,将其随机分为试验组和对照组各26例。试验组采用抗返流尿袋,更换尿袋1次/周,对照组采用普通一次性尿袋,更换尿袋1次/d。然后分别在留置尿管后的第7、14天、拔管后24 h内留取尿液标本培养送检。结果试验组留置导尿管患者第7、14天、拔管后24 h内菌尿阳性率明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论使用抗返流尿袋后,患者因留置导尿引起的尿路感染明显减少,同时也使护理人员的工作量减轻。

Objective To investigate and compare the effect between anti-reflux urine bag and common disposable urine bag used in Department of Neurology. Methods 52 patients with indwelling catheter in Department of Neurology were selected and randomly divided into experimental group and control group with 26 patients in each. Anti-reflux urine bag was used in the experimental group and replaced once a week, while common disposable urine bag was used in the control group and replaced once a day. And urine specimen was collected 7 days, 14 days after indwelling catheter and within 24 hours after extubation, respectively, for culturing and detecting. Results The experimental group＇s positive rate of bacteriuria 7 days, 14 days after indwelling catheter and within 24 hours after extubation was significantly lower than that of the control group respectively, the differences were statistically significant （P〈0.05）. Conclusion The use of anti-reflux urine bag not only decreases the urinary tract infections caused by in- dwelling catheter significantly, but also reduces the nurses＇ work.