改良肛周敷料在神经内科假性腹泻致失禁性皮炎的应用

Application of modified perianal dressing in incontinence dermatitis caused by pseudo-diarrhea in neurology department

目的探讨改良肛周敷料在神经内科假性腹泻致失禁性皮炎患者中的应用。方法 2015年5月-2017年5月选取本病区住院假性腹泻致中重度失禁相关性皮炎患者100例,采用随机数字表法分为观察组和对照组,每组各50例。对照组患者采用常规"粉膜粉三明治疗法"加3M透明贴;观察组患者使用根据肛门生理形状裁剪康惠尔透明贴作为肛周敷料。观察两组患者治疗3d效果。结果观察组患者治疗3d效果优于对照组,两组比较,差异有统计学意义(P<0.05)。结论根据肛门生理形状裁剪康惠尔透明贴作为肛周敷料治疗假性腹泻所致的失禁性皮炎治疗效果较好,值得临床应用和推广。

Objective To investigate the effect of modified perianal dressing on incontinence dermatitis in patients caused by pseudo-diarrhea in neurology department.Methods 100 patients with moderate and severe incontinence-associated dermatitis caused by pseudo-diarrhea in our hospital were included in the study.The patients were divided into observation group(n=50)and control group(n=50).The former group was treated with modified Conwhier hydrocolloid transparent paste directly applied after cutting.The effective rate of treatment for 3 days was observed in both groups.Result The observation group was superior to the control group in the effective rate of treatment for 3 days(P<0.05).Conclusions The modified Kanghuier hydrocolloid transparent sticking is effective in the treatment of incontinence-associated dermatitis caused by pseudo-diarrhea.It is worthy of clinical application and popularization.