本文選題：直腸瘺 + 濕疹��； 參考：《中華護理雜志》2017年S1期

【摘要】：目的探討造口護膚粉聯(lián)合皮膚保護膜在肛瘺術(shù)后防治繼發(fā)性濕疹的應(yīng)用效果。方法入選83例肛瘺手術(shù)患者,隨機分為試驗組和對照組。試驗組在常規(guī)處理傷口的基礎(chǔ)上,使用造口護膚粉聯(lián)合皮膚保護膜保護肛周皮膚。對照組常規(guī)處理傷口。觀察兩組術(shù)后4 d、14 d、24 d肛周皮膚發(fā)生瘙癢的程度、發(fā)作時間,以及皮損的例數(shù)、面積及濕疹痊愈的時間。結(jié)果試驗組3個時間節(jié)點皮膚發(fā)生瘙癢的程度均低于對照組,差異有統(tǒng)計學(xué)意義(P0.05);試驗組3個時間節(jié)點換藥后瘙癢發(fā)作的時間均遲于對照組,差異有統(tǒng)計學(xué)意義(P0.05);試驗組3個時間節(jié)點皮損發(fā)生的例數(shù)少于對照組,差異有統(tǒng)計學(xué)意義(P0.05),面積小于對照組,差異有統(tǒng)計學(xué)意義(P0.05);試驗組濕疹痊愈時間少于對照組,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論造口護膚粉聯(lián)合使用皮膚保護膜隔離肛瘺術(shù)后傷口分泌物和肛門溢液有效,對肛瘺術(shù)后繼發(fā)性肛周濕疹有預(yù)防和治療作用。
[Abstract]:Objective to investigate the effect of skin powder combined with skin protective film in prevention and treatment of secondary eczema after anal fistula. Methods Eighty-three patients with anal fistula were randomly divided into experimental group and control group. On the basis of routine treatment of wounds, the experimental group used skin care powder combined with skin protective film to protect perianal skin. The wounds in the control group were treated routinely. The degree of pruritus, the time of onset, the number of lesions, the area and the time of recovery of eczema were observed on the 4th day, 14th day and 24th day after operation. Results the degree of pruritus at three time points in the trial group was lower than that in the control group, the difference was statistically significant (P 0.05), and the time of the pruritus attack in the three time nodes of the test group was later than that in the control group. The difference was statistically significant (P 0.05), the number of cases of nodal lesions in the experimental group was less than that in the control group, the difference was statistically significant (P 0.05), the area was smaller than that in the control group (P 0.05), the recovery time of eczema in the test group was less than that in the control group. The difference was statistically significant (P 0.05). Conclusion the combination of skin protection powder and skin protective membrane is effective in preventing and treating secondary perianal eczema after anal fistula.
【作者單位】： 浙江大學(xué)醫(yī)學(xué)院附屬第一醫(yī)院肛腸外科;
【分類號】：R473.6

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本文編號：1995394