先天性巨结肠患儿术后失禁相关性皮炎的预防与护理实践

Prevention and nursing practice of postoperative incontinence-related dermatitis in children with Hirschsprung’s Disease

目的:探讨肛周皮肤保护措施在先天性巨结肠患儿术后失禁相关性皮炎的应用效果。方法:将2020年6月至2021年9月于我院普外科行Soave手术治疗的116例先天性巨结肠患儿随机分为对照组和实验组。对照组患儿肛周皮肤给予常规护理,实验组根据肠段类型给予不同的肛周皮肤护理措施,比较两组患儿术后失禁相关性皮炎的发生率以及严重程度。结果:实验组患儿术后失禁相关性皮炎的发生率低于对照组(P<0.05);两组患儿失禁相关性皮炎的严重程度差异有统计学意义(P<0.05)。结论:对于不同肠段类型的先天性巨结肠患儿在术后给予不同的肛周皮肤护理措施,可以有效预防失禁相关性皮炎的发生,值得在临床护理中推广该措施。

Objective:To explore the effect of perianal skin care in the treatment of incontinence-related dermatitis in children with Hirschsprung’s disease.Methods:Totally 116 children with Hirschsprung’s disease who underwent Soave operation in our hospital from June to September 2020 were randomly divided into control group and experimental group.The Control Group received routine care for perianal skin,while the experimental group received different perianal skin care according to the type of intestinal segment.Results:The incidence of incontinence-related Dermatitis in the experimental group was lower than that in the control group(P<0.05).There was significant difference in the severity of incontinencerelated dermatitis between the two groups(P<0.05).Conclusion:Different nursing measures can effectively prevent the occurrence of perianal skin incontinence-related dermatitis in children with Hirschsprung’s disease after operation,which is worth popularizing in clinical nursing.