局部氧疗联合造口袋治疗轻中度失禁性皮炎患者的效果评价

Evaluation of topical oxygen therapywith ostomy bagin the treatment of patients with mild-to-moderate incontinent dermatitis

目的探讨局部氧疗联合造口袋治疗失禁性皮炎患者的效果。方法选取90例轻中度失禁性皮炎（incontinenceassociateddermatitis，IAD）患者，采用随机数字表法将其分为A、B、C三组，每组各30例。A组患者采用常规护理，包括患者每次排便后，清洁皮肤，使用造口护肤粉和皮肤保护膜；B组患者在常规基础上采用局部氧疗；C组患者在常规护理和局部氧疗基础上，联合造口袋治疗。干预时间为7d，7d后观察IAD的治疗效果、IADS评分以及24h直接护理时数。结果三组患者治疗疗效比较，差异有统计学意义（P〈0．05），其中C组患者治疗效果优于A组和B组。三组患者IADS评分比较差异有统计学意义（P〈0．05），其中A组得分最高，C组得分最低。结论TOT联合造口袋治疗可提高轻、中度IAD患者治疗效果，降低IADS评分、减少护理工作量。

Objective To evaluate the effects of topical oxygen therapy combined with ostomy bag for patients suffering mild or moderate incontinence-associated dermatitis. Methods Totally 90 patients with mild or moderate IAD were recruited and assigned into 3 groups： Group A（n=30） ,Group B （n=30） and Group C（n=30） using random number table. All 3 groups were treated with routine nursing care. Apart from this, Group B received topical oxygen therapy （TOT） additionally; Group C received TOT combined with ostomy bag treatment. The intervation time was 7 days, and then observed the treat effect of IAD,the scores of IADS and the time of direct nursing in each 24 hours. Results The therapeutic effects among 3 groups was statistically significant in eommon（P 〈0.05） and separately. Group C had the best therapeutic effects compared to Group A and B （P〈0.05）. The lADS scores were statistically significant to each other（P〈0.05）. Group A had the highest score, while Croup C had the lowest. The nursing hours per day were statistically significant among different groups（P〈0.05）, with the lowest in Croup C. Conclusion TOT combined with ostomy bag for patients with mild or moderate lAD can improve the therapeutic effects, reduce the lADS scores, decrease nurses＇ workload.