金霉素眼膏在术前留置导尿中的应用效果

Application effect of chlortetracycin hydrochloride eye ointment in preoperative indwelling urethral catheter

目的 探讨采用金霉素眼膏作为润滑剂在留置导尿中的应用效果.方法 将300例需术前留置尿管的患者随机分为观察组和对照组,各150例.对照组采用无菌石蜡油作为润滑剂,观察组在留置尿管时采用金霉素作为润滑剂,观察两组患者因留置导尿管导致的尿道刺激症状、菌尿阳性率进行比较.结果 观察组与对照组在术后6h、术后12h、术后24h、术后36 h各时间点两组患者尿路刺激症状比较差异有统计学意义（P＜0.01）;两组菌尿阳性差异有统计学意义（P＜0.01）.结论 采用金霉素眼膏作为留置尿管时的润滑剂,对减轻手术患者术前因留置尿管引起的尿路刺激症、尿路感染有明显效果.

Objective To explore the effect of using chlortetracycin hydrochloride eye ointment as catheter lubricants in indwelling urethral catheter.Methods 300 preoperative patients who needed indwelling urethral catheter were randomly divided into observation group and control group,150 cases in each group.The control group used sterilized paraffin oil,the observation group used chlortetracycin as catheter lubricants,then we observed and compared two groups＇ urinary irritation symptoms and the positive ratio of antidromic indwelling ureter urethra infection.Results There was significant difference in urinary irritation symptoms at 6,12,24,36 hours after surgery between the two groups （P ＜ 0.01）; the positive ratio of antidromic indwelling ureter urethra infection also differed significantly between the two groups （6,12 hours after surgery P ＜ 0.01,24,36 hours after surgery,P ＜ 0.05）.Conclusion There was obvious effect to reduce the surgical patients＇ urinary irritation symptoms and the positive ratio of antidromic indwelling ureter nrethra infection by using chlortetracycin hydrochloride eye ointment as catheter lubricants.