不同拔管方式对住院患者术后泌尿系统感染的影响研究

Effect of Different Extubation Methods on Postoperative Urinary System Infection in Hospitalized Patients

目的探讨分析不同拔管方式对住院骨科患者术后泌尿系统感染的影响,提出相应的防控对策。方法选择2017年10月至2019年3月本院骨科手术患者180例为研究对象,随机分为观察组和对照组,观察组给予计划拔管,对照组给予常规拔管。比较两组患者的导尿管留置时间、重置导尿管例数、泌尿系统感染发生情况及尿液病原菌分布。结果观察组导尿管留置时间、重置导尿管例数、感染发生时间和感染率显著低于对照组(p<0.05)。12例感染者病原菌主要为大肠埃希菌、肺炎克雷伯菌、鲍氏不动杆菌和金黄色葡萄球菌。结论计划拔管可降低骨科患者术后泌尿系统感染,应根据患者排尿功能、导管情况设置拔管警戒,针对感染病原菌给予敏感抗生素预防治疗。

Objective To explore and analyze the effects of different extubation methods on postoperative urinary system infections in hospitalized orthopedic patients,and propose corresponding prevention and control strategies.Methods A total of 180 patients undergoing orthopedic surgery in our hospital from October 2017 to March 2019 were selected as the research objects.They were randomly divided into an observation group and a control group.The observation group was given planned extubation and the control group was given routine extubation.The catheter indwelling time,the number of cases of replacement catheters,the occurrence of urinary system infection and the distribution of pathogenic bacteria in urine were compared between the two groups.Results The indwelling time of the catheter,the number of cases of replacement catheter,the time of infection and the infection rate in the observation group were significantly lower than those in the control group(p<0.05).The main pathogens of the 12 infected cases were escherichia coli,klebsiella pneumoniae,acinetobacter baumannii and staphylococcus aureus.Conclusion Planned extubation can reduce postoperative urinary system infections in orthopedic patients.Extubation alert should be set according to the patient's urinary function and catheter conditions,and sensitive antibiotics should be given to preventive treatment of infectious pathogens.