摘要
目的观察护理干预对令皮欣预防宫颈癌根治术后留置尿管尿路感染的效果影响,以期改善患者的生活质量。方法选取220例首次行宫颈癌根治术的子宫颈癌患者,入院后随机分为对照组和观察组各110例,对照组患者行宫颈癌根治术、常规留置导尿管后,给予氯己定常规护理措施,观察组在此基础上加用令皮欣喷雾剂,2次/d。比较2组患者留置导尿管后第3天、第7天、第10天及第14天拔除导尿管的尿路感染发生率;比较2组患者治疗后阴道分泌物持续时间及阴道分泌物结痂的发生率;比较2组患者用药部位灼热、瘙痒等过敏反应的发生率。结果观察组患者在留置导尿管第3天、第7天、第10天以及第14天拔除导尿管的尿路感染发生率均显著低于对照组(P<0.05);对照组患者阴道分泌物持续时间为(23.78±3.74)d,显著高于观察组(6.52±1.09)d,差异有统计学意义(P<0.01);对照组患者阴道分泌物结痂的发生率显著高于观察组(P<0.05);观察组患者用药部位灼热、瘙痒等过敏发生率高于对照组,但2组比较差异无统计学意义(P>0.05)。结论对行宫颈癌根治术的子宫颈癌患者给予令皮欣护理干预,能够显著降低留置尿管后尿路感染的发生率,缩短阴道分泌物持续时间,降低阴道分泌物结痂发生率,改善患者生活质量,值得在临床推广应用。
Objective To observe influence of nursing intervention on the effect of Lingpixin in the prevention of urinary tract infection of indwelling urinary catheter in radical hysterectomy so as to improve the quality of life of patients.Methods 200 patients with first radical hys-terectomy were equally divided into control group and observation group.The patients in the control group were given radical hysterectomy,and were given conventional nursing measures with Chlorhexidine after indwelling catheter.The patients in the observation group were added the Lingpixin spray twice a day based on the treatment in the control group.The incidence of urinary tract infection on the third day,the seventh day and the tenth day after indwelling catheter and the fourteenth day taking off the catheter were compared in the two groups.The occurrence rate of duration time of vaginal secretion after treatment and scab of vaginal discharge was compared in the two groups.The occurrence rate of allergic reactions such as itching and hot sensation in the administration site was compared.Results The incidence rate of urinary tract infection of the patients in the observation group after catheter on the third day,the seventh day,the tenth day and the fourteenth day was significantly lower than that in the control group（P 〈0.05）.The duration time of vaginal secretion of patients in the control group was （23.78±3.74）d,which was higher thanthat in the observation group （6 .52± 1 .09 ）d ,the difference was statistical significant （P〈0.01）.The incidence rate of scab of vaginal discharge of patients in the control group was significantly higher than that in the observation group （P〈0.05）.The occurrence rate of allergic reactions such as itching and hot sensation in the administration site of patients in the control group was higher than that in the observation group,the difference was not statistical significant （P 〉0.05）.Conclusion The Lingpixin nursing intervention for the patients with radical hysterectomy could
出处
《实用临床医药杂志》
CAS
2014年第12期67-69,73,共4页
Journal of Clinical Medicine in Practice
关键词
宫颈癌根治术
留置尿管
尿路感染
令皮欣
临床效果
radical hysterectomy
indwelling urinary catheter
urinary tract infection
Lingpixin
clinical effect
