造口护肤粉联合皮肤保护膜在肛瘘术后护理中的应用及效果评价

Application and effect evaluation of stoma skin care powder combined with skin protective membrane in postoperative nursing of anal fistula

目的探讨造口护肤粉联合皮肤保护膜在肛瘘术后防治继发性湿疹的应用效果。方法入选83例肛瘘手术患者,随机分为试验组和对照组。试验组在常规处理伤口的基础上,使用造口护肤粉联合皮肤保护膜保护肛周皮肤。对照组常规处理伤口。观察两组术后4 d、14 d、24 d肛周皮肤发生瘙痒的程度、发作时间,以及皮损的例数、面积及湿疹痊愈的时间。结果试验组3个时间节点皮肤发生瘙痒的程度均低于对照组,差异有统计学意义(P<0.05);试验组3个时间节点换药后瘙痒发作的时间均迟于对照组,差异有统计学意义(P<0.05);试验组3个时间节点皮损发生的例数少于对照组,差异有统计学意义(P<0.05),面积小于对照组,差异有统计学意义(P<0.05);试验组湿疹痊愈时间少于对照组,差异有统计学意义(P<0.05)。结论造口护肤粉联合使用皮肤保护膜隔离肛瘘术后伤口分泌物和肛门溢液有效,对肛瘘术后继发性肛周湿疹有预防和治疗作用。

Objective To investigate the effect of stoma skin care powde combined with skin protective membrane in prevention and treatment of secondary eczema after anal fistula surgery.Methods Eighty-three patients after anal fistula operation were divided into test group and control group.On the basis of routine treatment,the patients in test group were used stoma skin care powder combined with skin protective membrane to protect the perianal skin.While the patients in control group were treated routinely.The degree of pruritus,the onset time,the number of skin lesions,the area of eczema and the healing time of eczema were observed in two groups 4 d,14 d and 24 d post-operation.Results Patients in test group had lowerdegree of pruritus,later onset time after dressing,less skin lesions,samller area of eczemaand shorter healing time of eczema than patients in control group in the 3 time nodes(all P<0.05).Conclusion Stoma skin care powder combined with skin protective membrane could effectively isolatepostoperative wound secretions and anus polyrrhea,and have preventive and therapeutic effects on secondary perianal eczema after anal fistula surgery.