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目的:探讨泡沫敷料对结肠造瘘患者造瘘口周渗出液炎性物质的影响。方法:选取我院普外科收治的结肠造瘘术患者104例,采用随机数字表方法将所有患者平均分为两组,各52例,对照组常规清洁造瘘口,造瘘口及周围皮肤涂抹氧化锌软膏后安装肛门袋;治疗组在对照组治疗的基础上,平铺一层多爱肤有边辅料,安装肛门袋,两组患者均每日更换肛门袋一次,连续治疗2周。采用酶联免疫吸附法(ELISA)检测两组患者治疗前后造瘘口周渗出液炎性物质水平;记录两组患者治疗过程中和治疗后皮肤损伤及造瘘口并发症发生情况。结果:1治疗后,两组患者造瘘口渗出液炎性物质水平较治疗前明显降低,且治疗组下降程度高于对照组(P<0.05);2治疗后,治疗组造瘘口皮肤完好率明显高于对照组,差异有统计学意义(P<0.05);3对照组造瘘口并发症的发生率明显高于治疗组,差异有统计学意义(P<0.05)。结论:泡沫敷料能够降低结肠造瘘患者造瘘口周炎性物质的分泌,减少造瘘口周围皮肤的损伤,降低造瘘口并发症的发生,对结肠造瘘口的护理具有重要临床意义。
Objective: To investigate the effect of foam dressing on inflammatory substances in periosts of periostitis in patients with colostomy. Methods: A total of 104 colostomy patients admitted to our hospital were enrolled. All patients were equally divided into two groups (n = 52) by random number table method. The control group was routinely cleaned, the stoma and the surrounding skin were smeared After the zinc oxide ointment, anus bags were installed. On the basis of the treatment of the control group, the treatment group was tiled with more side-loving auxiliary materials and an anorectal bag. Both groups were given an anal bag once a day for 2 weeks. Enzyme-linked immunosorbent assay (ELISA) was used to detect the levels of inflammatory substances in the periosts of the two groups before and after treatment. The incidences of skin lesions and complications in the two groups were recorded during and after treatment. Results: After treatment, the levels of inflammatory substances in the exostate of the two groups were significantly lower than those before treatment (P <0.05). After treatment, the skin of the fistula Intact rate was significantly higher than the control group, the difference was statistically significant (P <0.05); 3 control group the incidence of complications of fistula was significantly higher than the treatment group, the difference was statistically significant (P <0.05). CONCLUSION: Foam dressing can reduce the secretion of inflammatory substances in the peristome of patients with colostomy, reduce the damage to the skin around the stoma, reduce the incidence of complications in the stoma, and have important clinical significance for the nursing of colostomy.