负压吸引冲洗法在腹泻患者大便收集中的应用

Application of negative pressure lavation in stool collection of patients with diarrhea

目的探讨负压吸引冲洗法在腹泻患者收集大便、预防失禁相关性皮炎发生中的应用效果。方法对20例腹泻患者采用造口袋贴附肛门,在造口袋尾部插入修剪好的一次性硅胶胃管,将造口袋尾部纵向折叠包裹胃管外缠胶布固定,连接电动吸引器,向造口袋内注入温开水稀释大便,反复吸引冲洗收集大便。结果 20例腹泻患者中有1例患者对造口袋底盘发生皮肤过敏,停止使用负压冲洗,其余患者均有效收集大便,未发生失禁相关性皮炎。结论负压吸引冲洗法可有效收集腹泻患者大便,预防失禁相关性皮炎,准确记录大便量,减轻患者痛苦,减少护理工作量,适合在临床推广。

Objective To explore the efficacy of negative pressure lavation in stool collection of patients with diarrhea and to explore the application effect to prevent of incontinent related dermatitis. Methods Ostomy collection bags were put into the anus of 20 patients with diarrhea, and one disposable silicone gastric tube was inserted into the tail of each bag. The tail of the bag was then folded lengthways to cover the gastric tube, which was fixed with adhesive tapes. After that, the tube was connected to an electric sucker, and lukewarm water was poured into the bag to dilute stool. Thus stool was collected after repeated suctions. Results Among 20 patients, only one patient had skin dermatitis at the end of ostomy bag after stopped receiving negative pressure lavation. And the rest patients had stools collected effectively, and no one suffered from incontinent dermatitis. Conclusion Negative pressure lavation is effective in stool collection of patients with diarrhea and prevention of incontinent related dermatitis. It can accurately record the amount of stool, alleviate the pains of patients, and reduce nursing workload. Thus it is worthy of clinical promotion.