物理抗菌材料对男性经尿道手术后预防尿路感染的临床护理观察

目的 观察物理抗菌材料对男性经尿道手术后预防尿路感染的临床护理疗效.方法 选择2011年7月～2012年8月南方医科大学附属南方医院泌尿外科住院患者160例,随机分为常规组和用药组,每组各80例.两组术后3d均静脉滴注相同抗感染药物以预防术后感染,按护理常规实施导尿管留置护理方案.用药组则在常规组治疗基础上用新型物理抗菌材料喷洒导尿管和尿道口.两组患者拔尿管前,在严格无菌操作下留取中段尿液行尿培养,比较培养结果.结果 常规组菌尿率为38.75％（31/80）,用药组菌尿率为10.00％（8/80）,两组间菌尿率比较差异有高度统计学意义（x2=17.936,P＜ 0.01）.结论 新型物理抗菌材料对男性经尿道手术后尿路感染有明显的预防作用,值得临床推广.

Clinical nursing study on prevention of urinary tract infection by using physical acting antibacterial material after transurethral operation

Objective To assess the curative effect of physical acting antibacterial material to prevent urinary tract infection for patients with indwelling catheter after transurethral operation.Methods 160 cases undergoing transurethral operation in Nanfang Hospital,Southern Medical University from July 2011 to August 2012 were selected and randomly divided into normal group and treatment group,with 80 cases in each group.Same anti-infection drugs with intravenous drip was used in the two groups 3 days after the operation to prevent postoperative infection,routine nursing was used to carry out the indwelling catheters nursing plan.The treatment group was treatment with new physical antibacterial material on catheter and urethral opening on the bases of normal group.The middle line urine culture was carried out by the condition of strict aseptic operation before the urine tube extracting,the cultivation results was compared between the two groups.Results Bacteriuria rate in normal group was 38.75％ （31/80）,bacteriuria rate in treatment group was 10.00％ （8/80）,the difference of bacteriuria rate between the two groups was statistically significant （x2=17.936,P ＜ 0.01）.Conclusion New physical antibacterial material significantly reduces the rate of bacteriuria in patients with indwelling urinary catheter after transurethral operation,it is worthy of promotion.