造口粉联合液体敷料治疗肠造瘘口患儿效果观察
耿淑雯,刘 艳,王 萍
(新乡市第一人民医院普通外科,河南 新乡 453000)
摘要 目的:探究造口粉联合液体敷料应用于肠造瘘口患儿的效果及对皮损愈合情况、并发症的影响。 方法:选取 97 例肠造瘘口患儿,根据随机数字表法将其分为两组。 对照组 48 例,采取传统纱布护理及造口袋护理方法;观察组 49 例在对照组基础上联合造口护理粉及液体敷料护理。 观察两组患儿的皮损愈合情况、近期并发症、远期并发症。 结果:观察组疼痛缓解时间短于对照组(P<0.05);皮损愈合时间短于对照组(P<0.05);会阴部皮肤评分、近期并发症和远期不良事件发生率均低于对照组,以上差异均具有统计学意义(P<0.05)。 结论:造口粉及液体敷料可有效缩短皮损愈合时间,防止造口狭窄、回缩,减少并发症的发生。
关键词: 造口护理粉;液体敷料;肠造瘘口
中图分类号:R726.1 文献标志码:A 文章编号:1008-2409(2022)03-0073-04
Effect of ostomy nursing powder combined with liquid dressing on enterostomy stoma in children GENG Shuwen, LIU Yan, WANG Ping.(Dept. of General Surgery, the 1 st People’s Hospital of Xinxiang, Xinxiang 453000, China)
Abstract Objective: To explore the effect of ostomy nursing powder combined with liquid dressing on enterostomy stoma in children and its influence on skin healing and adverse complications. Methods: 97 children with enterostomy stoma were randomized into two groups, with 48 cases in the control group, 49 cases in the observation group observation. The control group were treated with traditional gauze nursing and ostomy bag nursing methods, while the observation group were treated with the combined ostomy nursing powder and liquid dressing nursing on this basis of the control group. Then, the skin healing, short-term and long-term complications were compared between the two groups. Results: The time of pain relief and skin healing in observation group was shorter than that in control group(P<0.05); and the incidence of perineal skin scores, short-term complications and long-term adverse events were lower than those of the control group, which were of statistical differences(P<0.05). Conclusion: The intervention of ostomy powder and liquid dressing on children with enterostomy stoma can effectively shorten the time of skin healing, prevent the occurrence of ostomy stenosis and retraction, and reduce the incidence of complications.
Keywords: ostomy care powder; liquid dressing; enterostomy stoma
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