自制氧气气囊在ICU合并阴囊水肿危重症患者中的应用

Effect of homemade oxygen gasbag on ICU patients with scrotal edema

目的 探讨自制氧气气囊应用于ICU危重患者合并阴囊水肿的疗效.方法 将72例ICU危重合并阴囊水肿患者纳入研究,其中60例阴囊水肿伴红斑、脱皮及渗液,随机分为观察组和对照组各36例；观察组采用氧气气囊充气治疗,对照组采用红外线照射、33％ MgSO4湿敷治疗；两组均给予积极治疗原发病、加强营养、纠正低蛋白血症及控制疼痛和焦虑等治疗,比较两组疗效.结果 观察组疗效优于对照组,观察组患者显效26例（72.7％）,有效9例（25.0％）,无效1例（2.7％）；对照组患者显效19例（52.7％）,有效8例（22.2％）,无效9例（25.0％）,两组间疗效比较,差异有统计学意义（x2 =7.548,P=0.023）；阴囊水肿伴有红斑、脱皮及渗液的患者疗效亦优于对照组,差异有统计学意义（x2=9.977,P=0.007）.结论 自制充气气囊治疗阴囊水肿,具有安全、有效、简便、经济及舒适的优点,值得临床推广应用.

Objective To discuss the effect of homemade oxygen gasbag on ICU patients with scrotal edema.Methods Seventy-two ICU patients with scrotal edema,in which 60 cases had erythema,peeling and seepage,were chosen and divided into the observation group and the control group,each with 36 cases.The observation group received treatment of air inflation by oxygen gasbag while the control group received treatment of infrared radiation and hydropathic compress of 33% MgSO4.Both groups also received active treatment of primary disease,nutrition improvement,hypoalbuminemia rectifying,pain control and anxiety relief.Effects of two groups were compared.Results Effect on scrotal edema patients was better in the observation group than in the control group.There were 26 cases （72.7%） who had excellent effects,9 cases （25.0%） who had effects and 1 case （2.7%） who had no effect in the observation group,and there were 19 cases （52.7%） who had excellent effects,8 cases （22.2%） who had effects and 9 cases （25.0%） who had no effect in the control group.The difference was statistically significant （x2 =7548,P =0.023）.The effect on patients with scrotal edema,erythema,peeling and seepage was also better in the observation group than in the control group,and the difference was statistically significant （x2 =9.977,P =0.007）.Conclusions Homemade oxygen gasbag is a safe,effective,simple,economical and comfortable way to treat scrotal edema,which is worthy of clinical promotion.