大便失禁留置肛管的护理

Nursing research of indwelling anal canal on fecal incontinence

目的观察留置气囊肛管在大便失禁护理中的运用。方法将86例大便失禁危重患者随机分为两组,每组各43例。观察组采用留置气囊肛管,持续肛管引流;对照组采用留置普通肛管,持续低负压引流。观察两组引流效果、肛门周围皮肤反应情况。结果观察组引流有效率为86.05%,对照组引流有效率为67.44%。观察组疗效优于对照组(P<0.05);观察组肛周皮肤损伤发生率明显低于对照组(P<0.05)。结论留置气囊肛管能更有效地保护腹泻、大便失禁患者肛周的皮肤,也解决了危重患者腹泻、大便失禁护理的难题。

Objective To observe the nursing research of indwelling anal canal on fecal incontinence. Methods Eighty-six cases of fecal incontinence critically ill patients were randomly divided into two groups. The observation group used balloon anal canal, continuing anal canal drainage; the control group used the remaining common anal, continuing low negative pressure drainage. The effect of drainage and anal surrounding skin reaction between the two groups were observed. Results The drainage effective rate of the observation group was 86.05%, the control group was 67.44%, the effect of observation group was superior than that of control group （P 〈 0.05）; the observation group peri- anal skin injury incidence was significantly lower than that of control group （P 〈 0.05）. Conclusion The balloon anal canal could more effectively protect diarrhea fecal incontinence patient perianal skin, which also solve the nursing problems of critically ill patient diarrhea and fecal incontinence.