造口粉联合液体敷料治疗肠造瘘口患儿效果观察

耿淑雯,刘 艳,王 萍

(新乡市第一人民医院普通外科,河南 新乡 453000)

摘要 目的:探究造口粉联合液体敷料应用于肠造瘘口患儿的效果及对皮损愈合情况、并发症的影响。 方法:选取 97 例肠造瘘口患儿,根据随机数字表法将其分为两组。 对照组 48 例,采取传统纱布护理及造口袋护理方法;观察组 49 例在对照组基础上联合造口护理粉及液体敷料护理。 观察两组患儿的皮损愈合情况、近期并发症、远期并发症。 结果:观察组疼痛缓解时间短于对照组(P<0.05);皮损愈合时间短于对照组(P<0.05);会阴部皮肤评分、近期并发症和远期不良事件发生率均低于对照组,以上差异均具有统计学意义(P<0.05)。 结论:造口粉及液体敷料可有效缩短皮损愈合时间,防止造口狭窄、回缩,减少并发症的发生。

关键词: 造口护理粉;液体敷料;肠造瘘口

中图分类号:R726.1 文献标志码:A 文章编号:1008-2409(2022)03-0073-04

Effect of ostomy nursing powder combined with liquid dressing on enterostomy stoma in children GENG Shuwen, LIU Yan, WANG Ping.(Dept. of General Surgery, the 1 st People’s Hospital of Xinxiang, Xinxiang 453000, China)

Abstract Objective: To explore the effect of ostomy nursing powder combined with liquid dressing on enterostomy stoma in children and its influence on skin healing and adverse complications. Methods: 97 children with enterostomy stoma were randomized into two groups, with 48 cases in the control group, 49 cases in the observation group observation. The control group were treated with traditional gauze nursing and ostomy bag nursing methods, while the observation group were treated with the combined ostomy nursing powder and liquid dressing nursing on this basis of the control group. Then, the skin healing, short-term and long-term complications were compared between the two groups. Results: The time of pain relief and skin healing in observation group was shorter than that in control group(P<0.05); and the incidence of perineal skin scores, short-term complications and long-term adverse events were lower than those of the control group, which were of statistical differences(P<0.05). Conclusion: The intervention of ostomy powder and liquid dressing on children with enterostomy stoma can effectively shorten the time of skin healing, prevent the occurrence of ostomy stenosis and retraction, and reduce the incidence of complications.

Keywords: ostomy care powder; liquid dressing; enterostomy stoma

参考文献:

[1] 颜伟慧,戴丽娜.新生儿坏死性小肠结肠炎小肠造瘘术后临床治疗 专 家 共 识 [ J]. 中 华 小 儿 外 科 杂 志, 2016,37(8):563-567.

[2] 李丽红,占春丽.造口护肤粉与 3M 液体敷料联合治疗Ⅱ期压疮的护理研究[J].护理研究,2017,31(1):103-105.

[3] 李健,李雪华,华玲玲,等.两种不同方法治疗新生儿重度臀红的疗效观察[J].国际护理学杂志,2016,(3):416-417.

[4] PENG Y,FANG C,ZHU G,et al.Preliminary application of indocyanine green fluorescence imaging in postoperative gastrointestinal fistula [J]. Photodiagnosis and PhotodynamicTherapy,2021,34:102336.[5] 张晓平,许晶晶.结直肠癌造口患者造口周围性皮炎发生的相关因素分析[J].护理实践与研究,2020,17(1):11-14.

[6] 刘丽,孙继红,赵东征,等.亲情化护理结合暗示性心理护理在肠造瘘术后患儿造口护理中的应用[J].齐鲁护理杂志,2021,27(14):137-138.

[7] 莫肖玲,伦兰娣,张艳,等.造口袋加水胶体透明贴联合持续负压引流用于大便失禁患者预防失禁性皮炎的效果观察[J].吉林医学,2021,42(5):1270-1272.

[8] 聂红霞,郑薇,何瑞仙.液体敷料在预防直肠癌术后留置肛管患者肛周失禁性皮炎的效果观察[J].中华结直肠疾病电子杂志,2017,6(3):259-261.

[9] 蔡伟良,戴国珠,黄海群,等.造口护肤粉联合 3M 液体敷料在失禁性皮炎患者中的应用[J].护理实践与研究,2019,16(2):142-144.

[10] KOREKAWA A,NAKAJIMA K,NAKANO H,et al.Successful epithelialization of perianal infantile hemangioma, presenting as intractable ulcers,with application of protective colostomy powder [ J]. J Dermatol,2017,44 (10):e264-e265.

[11] XIA D L,CHEN Y P,WANG Y F,et al.Fabrication of waterproof,breathable composite liquid dressing and its application in diabetic skin ulcer repair[J].Adv Skin Wound Care,2016,29(11):499-508.

[12] 裴艳霞,马利玲,王艳艳.造口护肤粉联合皮肤保护膜隔离对肛瘘术后肛周皮肤瘙痒程度的影响[J].皮肤病与性病,2021,43(1):51-53.

[13] 吕慧楠.造口护肤粉联合皮肤保护膜在肛瘘术后的应用效果研究[J].世界最新医学信息文摘(连续型电子期刊),2021,21(12):65-66.

[14] 宋莹.造口护肤粉联合 3M 液体敷料在小儿肛肠疾病术后肛周皮肤护理中的应用[J].中国肛肠病杂志,2020,40(10):71-73.

[15] 乔敏.造口护肤粉联合 3M 液体敷料治疗在新生儿重度臀红中的应用[J].国际护理学杂志,2020,39(8):1443-1445.

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