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通过对比稀碘伏膀胱冲洗、尿道外口擦洗预防TURP术后尿路感染的有效性。选取2014年7月~2016年7月间267例行TURP手术患者,随机分为膀胱冲洗组(简称冲洗组)、尿道外口擦洗组(简称擦洗组)和对照组,每组89例。所有患者术后均留置三腔气囊导尿管,引流袋每天更换。擦洗组每天常规0.5%碘伏擦洗尿道外口三次,冲洗组每天用0.05%稀碘伏200mL冲洗膀胱,2次/d;对照组术后用0.9%生理盐水冲洗膀胱,2次/d。三组患者冲洗7天后取中段尿做细菌培养。结果显示擦洗组有12例患者尿培养阳性,冲洗组有25例患者尿培养阳性,对照组有30例患者尿培养阳性,擦洗组与对照组比较差异有统计学意义(P<0.05);冲洗组与对照组比较差异无统计学意义(P>0.05)。稀碘伏擦洗尿道外口可效降低TURP术后患者尿路感染的发生率,缩短患者平均住院日,值得进一步推广。
By comparing the dilute iodine bladder flushing, external urethral scrub to prevent postoperative urinary tract infection TURP effectiveness. Totally 267 patients undergoing TURP from July 2014 to July 2016 were randomly divided into bladder irrigation group (referred to as irrigation group), external urethral irrigation group (scrubbed group) and control group, 89 cases in each group. All patients were retained after the three-chamber balloon catheter drainage bag replacement daily. Scrub group routinely 0.5% iodophor scrub three times a day outside the urethra, irrigation group with 0.05% dilute iodophor 200mL flush the bladder every day, 2 times / d; control group after surgery with 0.9% saline flushing the bladder 2 times / d. Three groups of patients were washed 7 days after taking the urine to do bacterial culture. The results showed that 12 patients in the scrub group had positive urine culture. Positive urine culture was found in 25 patients in the scrubbing group and 30 urine samples in the control group. There was significant difference between the scrubbing group and the control group (P <0.05) There was no significant difference between the two groups (P> 0.05). Dilute iodophor scrub urethral orifice can reduce the incidence of urinary tract infection in patients with TURP surgery, shorten the average length of stay in patients, worthy of further promotion.