109例直肠癌Miles术后造瘘口的优质护理研究

Researches on High-quality Care of Orificium Fistulae of 109 Rectal Cancer Cases after Miles

目的探讨直肠癌Miles术后造瘘口的优质护理方法。方法温馨及时的心理护理,正确的人工肛门袋使用方法,正确的造瘘口周围皮肤的护理方法,对造瘘口并发症的精心护理。结果本组患者平均住院13.2 d,所有患者都很快接受了现实,没有患者发生明显的心理障碍,更没有自杀和自残的患者,术后发生造瘘口狭窄5例,经过扩肛后,5例患者均解除了造瘘口狭窄,造瘘口周围皮炎6例,仅是皮肤发红,无皮肤破溃病例,经精心护理后治愈,切口感染10例,经换药治愈7例,二期缝合治愈3例,出血1例,经压迫止血后治愈,无造瘘口肠坏死病例。结论术后的优质护理能够解除Miles手术患者术后的心理障碍和减少造瘘口术后并发症的发生。

Objective To discuss the high-quality care of orificium fistulae of rectal cancer cases after Miles. Methods Warm psych-care, correct using of artificial anus casing, correct care for surrounding skin of orificium fistulae, and carful care of orificium fistulae complication. Results Patients in this group, who were in hospital averagely about 13.2 days, accepted the reality rapidly, in which no one had obvious psychological obstacle, and any suicide or self-mutilation. 5 cases oridicium fistulae were too narrow, which released after enlarge archos, 6 cases cutitis of surrounding skin of orificium fistulae, which were only erythema without ulceration, cured by careful care. 10 cases infection of incisional would, in which 7 cases cured by changing dressings, 3 cases cured by secondary suture, 1 bleeding case cured by hemostasis, and there was no cellular necrosis. Conclusion The high-quality care of orificium fistulae of rectal cancer cases after Miles can release psychological obstacles and reduce complication.