改良女婴尿液标本收集方法的临床效果

摘要

Objective To explore the clinical effects of improved urine specimen collection for baby girl.Methods Totals of 82 female infant were recruited and used improved method and traditional method to collect urine,Put the asepsis tampon into the the opening of the collector when collected the urine specimen in improved method group,while the collector was directly used to collected the urine specimen.Then,the average number of collector,total times of collectors polluted by ease nature,average time of specimen collection,and the assay in two groups were observed and compared.Results The average number of collectors,total times of collectors polluted by ease nature,average time of specimen collection of improved method group respectively were(2.43 ±0.18),(24.02 ±8.43)and (2.32 ±0.16) hours,and that of the traditional method group were ( 6.78 ± 0.87 ),(78.01 ± 11.32 ) and (6.69 ± 0.35 ) hours,and the differences were statistically significant ( t =44.84,34.65,103.53,respectively;P ＜ 0.01 ),while there was no difference in the lab tests such as pH,blood and epithelial cell counts and the specific gravity of urine(P ＞ 0.05),Conclusions Improved urine sample collection method for female infant can significantly improve the success rate of urine specimen collection,reduce the average number of collectors and the time and have no influence on the assay,which can be popularized in clinic.%目的 探讨改良女婴尿液标本收集方法的临床效果.方法 选取需收集尿液标本的女婴82例,均使用传统方法及改良方法收集尿液,改良方法组将无菌大棉球放置在尿液收集器开口处留取女婴尿液标本,传统方法组直接用尿液收集器留取尿液标本,比较两组尿液标本平均使用收集器数、收集器受大便污染总次数、平均留取标本时间及标本检验结果.结果 改良方法组留取尿液标本平均使用尿液收集器数、收集器受大便污染总次数及平均留取标本时间分别为(2.43±0.18)个,(24.02±8.43)次,(2.32±0.16)h,明显低于传统方法组的(6.78±0.87)个,(78.01±11.32)次,(6.69士0.35)h,差异均有统计学意义(t分别为44.84,34.65,103.53;P＜0.01)；两组尿液标本尿液常规(酸碱度、尿液比重、白细胞计数、红细胞计数、上皮细胞计数)结果比较,差异无统计学意义(t分别为0.604,0.395,0.498,1.278,0.492;P＞ 0.05).结论 改良女婴尿液标本收集法能显著提高尿液标本的留取率,减少使用尿液收集器的数量及留取尿液标本所需时间,且对尿液常规检测结果无影响,值得临床推广应用.