摘要
目的分析前列腺切除术后引起尿路感染的原因并探讨其防治对策,为降低前列腺切除术后发生尿路感染概率提供参考。方法对医院2007年1月-2012年6月收治的48例行前列腺切除术后发生尿路感染患者的年龄、住院天数、尿管留置时间等因素进行统计分析,将其随机均分为观察组与对照组,每组各24例,观察组患者给予密闭式引流系统处理,对照组患者鼓励患者多饮水,帮助生理性膀胱冲洗与常规护理,观察并比较两组患者临床效果。结果 48例尿路感染患者的年龄、住院天数及留置导尿时间与尿路感染的发生有关,差异有统计学意义(P<0.05);观察组患者干预措施的临床有效率为83.33%,对照组为41.67%,观察组明显高于对照组,差异有统计学意义(P<0.05)。结论年龄过高、住院时间长及留置尿管时间较长等是前列腺切除术后患者发生尿路感染的危险因素,对患者给予密闭引流系统,护理人员严格无菌操作可在一定程度上控制尿路感染的发生。
OBJECTIVE To analyze the causes of urinary tract infections after prostatectomy and explore the countermeasures and provide a reference for reducing the probability of post-prostatectomy urinary tract infections. METHODS The patienfs age, hospitalization duration , and indwelling catheter duration of 48 cases with urinary tract infection after prostatectomy who enrolled the hospital from Jan 2007 to Jun 2012 were taken for statistical analysis. They were randomly divided into the observation group and the control group, each group was of 24 cases. They were given a closed drainage system, and patients were encouraged to drink plenty of water to help the physiological bladder irrigation with usual care. The clinical effects of the two groups of patients were observed and compared. RESULTS The patient＇s age, hospital stay and catheterization duration of the 48 cases with urinary tract infections were associated with the urinary tract infections, there was statistical significance （P〈0.05）. The clinical effective rate of the interventions for the observation group was 83.33 %, significantly higher than 41.67 of the control group ,the difference was statistically significant （P〈0. 05）. CONCLUSION The risk factors for urinary tract infection after prostatectomy include the advanced age, long hospital stay and long indwelling catheter duration. If the patients are given with a closed drainage system and the nurses take aseptic operation, it can control the occurrence of urinary tract infections at a certain extent.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第10期2355-2356,2366,共3页
Chinese Journal of Nosocomiology
关键词
前列腺切除术
尿路感染
原因分析
Vrostatectomy
Urinary tract infection
Cause analysis
