水胶体敷料联合造口产品在保护肠外瘘患者瘘口周围皮肤中的应用

Application of hydrocolloid dressing joint colostomy products to the protection of surrounding skin in intestinal fistula patients

目的:探讨肠外瘘患者联合使用水胶体敷料和造口产品在保护瘘口周围皮肤中的应用效果。方法:将2014年2月至2016年10月期间在胃肠外科住院治疗的50例肠外瘘患者作为研究对象,随机分为观察组和对照组,各25例,观察组患者应用水胶体敷料保护瘘口周围皮肤,并给与造口产品配合使用,对照组患者采用传统持续冲洗加负压吸引加外涂氧化锌保护皮肤。结果:在客观指标方面,观察组患者瘘口周围皮炎发生率及严重程度低于对照组(P<0.05),日均换药次数少于对照组(P<0.05);而在诺丁汉健康量表(NHP)各主观指标方面的评估均优于对照组(P<0.05)。结论:水胶体敷料联合造口产品可保护瘘口周围皮肤,有效避免渗漏液污染腹部切口和对周围皮肤的刺激,加快瘘口愈合,提升舒适度,同时减轻了家庭经济负担,降低了医护人员工作量,值得推广应用。

Objective： To study the effect of applying hydrocolloid dressing joint colostomy products to the protection of surrounding skin in intestinal fistula patients. Methods： 50 cases of patients with intestinal fistula hospitalized in gastrointestinal surgery from January 2014 to October 2016 were selected and randomly divided into experimental group and control group,25 cases in each group. The experimental group was treated with hydrocolloid dressing joint colostomy products,while the control group was treated with traditional continuous washing plus pressure suction and zinc oxide coating to protect the skin. Results： In terms of objective indicators,the dermatitis incidence and severity of the fistula surrounding skin in experimental group were significantly lower than those in control group（ P 〈 0. 05）; the average daily dressing change was significantly less than that in control group（ P 〈 0. 05）. The subjective assessment of indicators in the Nottingham health scale（ NHP） in experimental group was superior to that in control group（ P 〈 0. 05）. Conclusion： Hydrocolloid dressings joint colostomy products can protect fistula surrounding skin,effectively prevent pollution of liquid leakage to abdominal incision and stimulation of liquid leakage to the surrounding skin,accelerate the fistula healing,ease the family economic burden,and at the same time reduce the workload of medical staff,which is worthy of promotion.