造口護(hù)膚粉聯(lián)合皮膚保護(hù)膜在肛瘺術(shù)后護(hù)理中的應(yīng)用及效果評(píng)價(jià)
發(fā)布時(shí)間:2018-06-08 09:51
本文選題:直腸瘺 + 濕疹。 參考:《中華護(hù)理雜志》2017年S1期
【摘要】:目的探討造口護(hù)膚粉聯(lián)合皮膚保護(hù)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(jī)分為試驗(yàn)組和對(duì)照組。試驗(yàn)組在常規(guī)處理傷口的基礎(chǔ)上,使用造口護(hù)膚粉聯(lián)合皮膚保護(hù)膜保護(hù)肛周皮膚。對(duì)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(shí)間,以及皮損的例數(shù)、面積及濕疹痊愈的時(shí)間。結(jié)果試驗(yàn)組3個(gè)時(shí)間節(jié)點(diǎn)皮膚發(fā)生瘙癢的程度均低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);試驗(yàn)組3個(gè)時(shí)間節(jié)點(diǎn)換藥后瘙癢發(fā)作的時(shí)間均遲于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);試驗(yàn)組3個(gè)時(shí)間節(jié)點(diǎn)皮損發(fā)生的例數(shù)少于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),面積小于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);試驗(yàn)組濕疹痊愈時(shí)間少于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論造口護(hù)膚粉聯(lián)合使用皮膚保護(hù)膜隔離肛瘺術(shù)后傷口分泌物和肛門溢液有效,對(duì)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(hào)】:R473.6
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