Objective To explore the efficacy of flavored Longdan in perineal care of ICU patients indwelled catheter.Methods 60 ICU patients indwelled catheters were randomly divided into a control group and an observation group,30 cases for each group.The control group were perineally cared with warm water and 0.05％ povidone-iodine,while the observation group with flavored Longdan.Results After the care,2 cases were bacterially positive in day 7 urine culture in the observation group,and 7 in the control group; no case occurred perineal eczema; the perineal bad smell score was lower in the observation group than in the control group; with statistical differences(P ＜ 0.05,P ＜ 0.01).Conclusions Flavored Longdan in perineal care of ICU patients indwelled catheters can lower the incidences of retrograde infection and perineal eczema,make the patients comfortable,and improve the quality of perineal care.%目的 探讨加味龙胆泻肝汤在ICU留置尿管患者会阴护理中的应用效果.方法 将60例ICU留置尿管患者随机分为对照组和观察组各30例,对照组采用温水和0.05％碘伏进行会阴护理,观察组采用中药方剂加味龙胆泻肝汤煎剂进行会阴护理.结果 观察组会阴护理后7d尿培养细菌阳性率2例,明显低于对照组7例,会阴部无发生湿疹及不适症状,会阴部异味评分明显低于对照组,两组比较,差异有统计学意义(P＜0.05,P＜0.01).结论 加味龙胆泻肝汤用于ICU留置尿管患者会阴护理,可降低留置尿管逆行感染及会阴部湿疹发生率,促进患者舒适,提高留置尿管患者会阴护理质量.
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