先天性巨结肠术后肛门护理的临床对比

Clinical comparison of anus nursing intervention after congenital megacolon surgery

目的探讨3M无痛保护膜与红外线烤灯在先天性巨结肠术后肛门护理中的应用对比。方法将160例行先天性巨结肠术后的患儿随机分成两组,其中对照组80例,患儿术后拔除肛管后肛门用生理盐水棉球擦拭和红外线灯烤进行护理,实验组80例,患儿术后拔除肛管后用3M无痛保护膜喷涂肛门皮肤,并进行暴露。结果实验组使用3M无痛保护膜在皮肤潮红方面与对照组比较有较好的作用(P=0.001),起到了有效保护皮肤及促进皮肤愈合的目的 ,可有效增加患儿的舒适度,减轻护理人员及家属的负担,提高患儿及家属的满意度,两组患儿家属主观感受评分比较差异均有统计学意义(均P<0.05)。结论 3M无痛保护膜方便实用,可广泛应用于临床护理工作。

Objective To investigate the comparison of the 3M pain-free protective film and the infrared heat lamp for anal nursing care application of the congenital megacolon. Methods 160 children in our department were randomly divided into two groups. Children postoperatively were used cotton balls with normal saline to clean the anus after removal of the anal canal and used infrared heat lamp for care in the control group of 80 cases. Children postoperatively were used 3M pain-free protective film to spurt the anal skin for care after removai of the anal canal and exposed the anus in the experi- mental group of 80 cases. Results Experimental group used 3M pain-free protective film had a good effect in the skirl flushing when compared with that of control group （P = 0.001）, which effectively protected the anal skins and promot- ed healing. 3M pain-free protective film effectively increased the children＇s degree of comfort, reduced the burden on the nursing staff and families and improved the satisfaction of children and their families, there were significant difference in the score of subjective feeling between the childred families of two group （P 〈 0.05）. Conclusion 3M pain-free protective film is convenient and practical and can be widely used in clinical nursing care.