非离断式底盘剪裁在含支架棒袢式造口患者中的应用效果

Effects of application the non-breaking chassis clipping in patients undergoing the loop colostomy with a stoma rod

目的探讨非离断式造口底盘剪裁法在含支架棒袢式造口护理中的应用效果。方法选取2019年1-12月因直肠癌、肠梗阻、肠瘘行含支架棒造口术的患者92例,将其随机分为实验组47例,对照组45例,实验组采用非离断式底盘剪裁造口袋底盘,对照组采用常规方法,干预后第3、6、9天比较2组患者造口周围潮湿相关性皮肤损伤、造口底盘渗漏率、更换造口袋耗时。结果实验组患者术后第9天造口周围潮湿相关性皮肤损伤发生率低于对照组(χ^(2)=8.950,P=0.003);术后第6天、第9天造口底盘渗漏率发生率均低于对照组(χ^(2)=8.644,P=0.003;χ^(2)=8.644,P=0.003);更换造口袋耗时低于对照组(F组间=860.531,P<0.001)。结论非离断式底盘剪裁可有效降低含支架棒袢式造口患者造口相关并发症。

Objective To evaluate the effect of applying the non-breaking chassis clipping in patients undergoing the loop colostomy with a stoma rod.Methods Ninety-two patients undergoing the loop colostomy with a stoma rod due to the rectal cancer,anal obstruction and intestinal obstruction in 2019 were selected and randomly divided into an experimental group of 47 and a control group of 45.The experimental group was operated using the non-breaking chassis clipping,while the control group was done using the routine method.On the 3rd,6th and 9th day after the surgery,the incidence of moisture-related skin lesions around stoma,the leakage rate of stoma chassis and the time to replace the stoma bags were compared between the two groups.Results On the 9th day after the operation,the incidence of moisture-related skin lesions around stoma of the experimental group was significantly lower than that of the control group(χ^(2)=8.950,P=0.003).Moreover,the leakage rate of the stoma chassis of the experimental group on the 6th and 9th days were significantly lower than that of the control group(χ^(2)=8.644,P=0.003;χ^(2)=8.644,P=0.003).The time to replace the stoma in the experimental group was significantly lower than that of the control group(F=860.531,P<0.001).Conclusion The non-breaking chassis clipping can significantly lower the complications of patients undergoing the loop colostomy with a stoma rod.