洁悠神对住院妇产科留置导尿患者泌尿系统感染的影响

Influence of JieUC on urinary tract infection in urethral catheter indwelling patients hospitalized in gynecology and obstetrics department

目的探究洁悠神对住院妇产科留置导尿患者泌尿系统感染的影响。方法选取2015年1月-12月医院接受治疗的妇产科住院患者5242例为研究对象,按照随机数表将患者分为对照组和观察组,每组2621例,对照组采用常规方法进行尿道口护理,每天2次;观察组在对照组的基础上,联合使用洁悠神新型长效抗菌材料喷洒于尿道口以及导尿管,每天2次,统计两组患者置管期间膀胱尿细菌培养阳性例数;比较两组患者尿标本细菌培养情况。结果观察组患者留置尿管期间第3天、5天、7天尿细菌培养检测出的细菌株数分别为31株占1.2%、152株占5.8%、160株占6.1%均低于对照组对应细菌株数105株占4.0%、519株占19.8%、1064株占40.6%,差异有统计学意义(P<0.05);观察组患者置管期间第3天、5天、7天、14天膀胱尿细菌培养阳性例数分别为29例占1.1%、34例占1.3%、42例占1.6%、52例占2.0%均低于对照组对应阳性例数63例占2.4%、81例占3.1%、97例占3.7%、105例占4.0%,两组比较差异有统计学意义(P<0.05);观察组患者发生尿常规检测结果异常52例,异常率为2.0%,低于对照组的105例异常率4.0%,病原菌检出率低于对照组,两组比较差异有统计学意义(P<0.05)。结论采用洁悠神长效抗菌材料对住院妇产科留置导尿患者进行尿道护理,能够抑制病原微生物,降低泌尿系统感染率。

OBJECTIVE To explore the influence of JieUC on urinary tract infection in urethral catheter indwelling patients hospitalized in gynecology and obstetrics department.METHODS A total of 5242 patients who were hospitalized in department of gynecology and obstetrics from Jan 2015 to Dec 2015 were recruited as the study objects and were randomly divided into the control group and the observation group,with 2621 cases in each group.The control group was treated with conventional method for urethral mouth care,twice a day,while the observation group was given additional JieUC novel long-acting antibacterial material that was sprayed on the urethra and urinary catheter based on the treatment of the control group,twice a day.The number of cases of the patients whose bladder urine specimens were cultured positive was statistically analyzed,and the result of bacterial culture of urine specimens was compared between the two groups of patients.RESULTS Totally 31（1.2%）strains of bacteria were isolated from the patients in the observation group on Day 3 of urinary catheter indwelling,less than 105（4.0%）strains of bacteria that were isolated from the patients in the control group;totally 152（5.8%）strains of bacteria were isolated from the patients in the observation group on Day 5 of urinary catheter indwelling,less than 519（19.8%）strains of bacteria that were isolated from the patients in the control group;totally 160（6.1%）strains of bacteria were isolated from the patients in the observation group on Day 7 of urinary catheter indwelling,less than 1064（40.6%）strains of bacteria that were isolated from the patients in the control group,and there was significant difference（P〈0.05）.Totally 29（1.1%）cases,34（1.3%）cases,42（1.6%）cases and 52（2.0%）cases were positive for culture of bladder urine specimens in the observation group on Day 3,5,7,and 14 of urinary catheter indwelling,less than 63（2.4%）cases,81（3.1%）cases,97（3.7%）cases,and 105（4.0%）cases in the control group,and there was significant difference between the two groups（P〈0.05）.The abnormal rate of urine routine testing of the observation group was 2.0%（52 cases）,lower than 4.0%（105 cases）of the control group;the isolation rate of pathogens of the observation group was lower than that of the control group,and there was significant difference between the two groups（P〈0.05）.CONCLUSION JieUC long-acting antibacterial material can inhibit the pathogenic microorganisms and reduce the incidence of urinary tract infection when it is used for urethral care of the urethral catheter indwelling patients hospitalized in gynecology and obstetrics department.