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目的探讨脊柱内固定手术患者尿管规范化护理的对策。方法回顾性分析了697例脊柱内固定手术患者的规范化尿管护理情况,统计其平均尿管停留时间、有症状性菌尿症和无症状性菌尿症比例、术前排尿训练结果、拔管困难及尿管感染等情况,并与开展规范化尿管护理前的情况进行比较。结果实验组697例患者中,平均尿管停留时间为1.8 d,有症状菌尿症比例和无症状菌尿症比例分别为4.3%和2.4%,无尿路感染;与2011年对照组683例患者尿管护理结果比较在停留时间、菌尿症及尿路感染发生率比较(P<0.05)。结论对脊柱内固定患者实施规范化的尿管护理,可有效减少其尿路感染的机会。
Objective To discuss the countermeasures of standardization nursing of ureteral catheter in patients undergoing spinal internal fixation. Methods A retrospective analysis of 697 cases of spinal internal fixation in patients with standardized catheter care, statistics of the average catheter residence time, with symptomatic bacteriuria and asymptomatic bacteriuria ratio, preoperative urinary training results, extubation Difficulties and catheter infections, etc., and to carry out standardized catheter care before the situation for comparison. Results Among the 697 patients in the experimental group, the average urinary retention time was 1.8 days. The proportion of symptomatic bacteriuria and asymptomatic bacteriuria were 4.3% and 2.4% respectively, with no urinary tract infection. Compared with the control group of 683 cases The results of urinary catheterization in patients were compared in terms of residence time, bacteriuria and urinary tract infection (P <0.05). Conclusion The implementation of standardized catheterization in patients with spinal internal fixation can effectively reduce the chance of urinary tract infection.