脉冲式膀胱冲洗在尿路感染干预中的应用研究

Study on the Application of Pulse Bladder Irrigation in the Intervention of Urinary Tract Infection

目的:观察脉冲式膀胱冲洗在尿路感染干预中的应用效果。方法:随机选择2018年7月-2019年6月普宁市人民医院就诊的长期留置尿管并发尿路感染患者160例,随机数字表法分为观察组(80例)和对照组(80例),对照组采用常规冲洗法进行护理,观察组使用脉冲式冲洗进行护理,于膀胱冲洗第3、5、7天晨取中段尿进行尿常规检查,比较两组临床效果。结果:经不同方法冲洗后,治疗第7天后治疗观察组总有效率高于对照组,差异有统计学意义(P<0.05);观察组患者治疗第3、5、7天细菌计数超过10~5 cfu/ml率及24 h尿沉渣检查白细胞计数>39个/μl率显著高于对照组,差异有统计学意义(P<0.05)。结论:脉冲式膀胱冲洗可有效降低导尿管相关尿路感染率,临床效果更佳。

Objective:To observe the effect of the method of pulse bladder irrigation in the intervention of urinary tract infection.Method:A total of 160 patients with urinary tract infection were randomly selected from July 2018 to June 2019 in Puning People’s Hospital.They were divided into the observation group (80 cases) and the control group (80 cases) according to the method of random number table.The control group was treated with routine washing method and the observation group was treated with pulse bladder irrigation.The middle urine was taken on the 3rd,5th and 7th day of bladder washing,the clinical effect of the two groups was compared.Result:After washing with different methods,the total effective rate of the observation group was significantly higher on the 7th day of treatment than those in the control group,and the differences were statistically significant (P<0.05).The rate of bacteria count over 10~5 CFU/ml on the 3rd,5th and 7th day of treatment and the rate of WBC over 39/μl on 24-hour urine sediment examination in the observation group were significantly higher than those in the control group (P<0.05).Conclusion:Pulse bladder irrigation can effectively reduce urinary tract infection rate related to catheter,and the clinical effect is better.