造口底盘用于造口旁切口的效果评价

Evaluation of stoma skin barrier in peristomal wound healing

目的:分析造口底盘在造口旁切口治疗中的应用效果。方法:纳入2018年11月至2019年11月我院外科造口门诊60例造口与切口距离<底盘覆盖范围(10 cm×10 cm)的病人,随机分为研究组和对照组各30例。研究组使用造口底盘,对照组采用片状水胶体敷料治疗保护。评价两组病人治疗效果、舒适度、换药时间和成本效益的差异。结果:研究组和对照组回肠造口分别为23例、21例,结肠造口分别为7例、9例。研究组和对照组造口周围皮肤变色、侵蚀和组织增生的评分分别为(5.67±1.21)和(5.80±1.24),切口面积分别为(18.76±16.14)cm^(2)和(20.91±15.39)cm^(2)。两组病人7 d后治疗效果和舒适度比较,差异无统计学意义。但研究组的治疗成本低于对照组[(244.67±58.47)元比(341.43±106.13)元,P<0.001],换药时间亦少于对照组[(10.90±1.58)min比(14.77±3.42)min,P<0.001],差异均有显著统计学意义。结论:造口底盘可替代水胶体对造口旁切口进行治疗和保护,为造口旁切口治疗的方法之一。

Objective To assess the effect of stoma skin barrier in the treatment of peristomal wound.Methods Sixty patients of intestinal stoma with less than 10 cm from wound in our peristomal skin care departments of surgery from November 2018 to November 2019 were enrolled.The cases were randomly divided into study group and control group each 30 cases.Stoma skin barrier was used to treat the cases in study group and hydrocolloid dressing to treat the cases in control group.The effect of treatment,satisfaction,dressing change time and cost-benefit were compared between two groups.Results Ileostomies were 23 cases in study group and 21 cases in control group.Colostomies were 7 cases in study group and 9 cases in control group.Scores of discoloration erosion,tissue overgrowth of peristoma were evaluated to be(5.67±1.21)in study group and(5.84±1.24)in control group.Would area was(18.76±16.14)cm^(2) to patients in study group and(20.91±15.39)cm^(2) in control group.There was no statistically significant difference in the effect and satisfac-tion after 7 days between two groups.However,treatment cost of study group was lower than that of control group[(244.67±58.47)yuan vs.(341.43±106.13)yuan,P<0.001],and dressing change time of study group was also less than that of control group[(10.90±1.58)min vs.(14.77±3.42)min,P<0.001].There was significant difference in the two parameters between two groups.Conclusions Stoma skin barrier can be used to replace hydrocolloid dressing to care peristomal wound,which would be the strategy of peristomal wound healing.