| 庄玉梅 张斌 杨雪 陈岩 别会鑫.泡沫敷料对结肠造瘘患者造瘘口周渗出液炎性物质的影响[J].,2015,15(30):5889-5891 |
| 泡沫敷料对结肠造瘘患者造瘘口周渗出液炎性物质的影响 |
| Effect of the Inflammatory Substance of the Stoma of the Stoma was theWeek in Colon Fistula Patients by Foam Dressing |
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| DOI： |
| 中文关键词: 泡沫敷料 结肠造瘘 渗出液 炎性物质 |
| 英文关键词: Foamdressing Colon fistula Effusion Inflammatory substance |
| 基金项目:国家自然科学基金青年科学基金项目(30901795） |
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| 中文摘要: |
| 目的：探讨泡沫敷料对结肠造瘘患者造瘘口周渗出液炎性物质的影响。方法：选取我院普外科收治的结肠造瘘术患者104
例，采用随机数字表方法将所有患者平均分为两组，各52 例，对照组常规清洁造瘘口，造瘘口及周围皮肤涂抹氧化锌软膏后安装
肛门袋；治疗组在对照组治疗的基础上，平铺一层多爱肤有边辅料，安装肛门袋，两组患者均每日更换肛门袋一次，连续治疗2
周。采用酶联免疫吸附法（ELISA）检测两组患者治疗前后造瘘口周渗出液炎性物质水平；记录两组患者治疗过程中和治疗后皮肤
损伤及造瘘口并发症发生情况。结果：①治疗后，两组患者造瘘口渗出液炎性物质水平较治疗前明显降低，且治疗组下降程度高
于对照组(P＜0.05)；②治疗后，治疗组造瘘口皮肤完好率明显高于对照组，差异有统计学意义（P＜ 0.05）；③对照组造瘘口并发症
的发生率明显高于治疗组，差异有统计学意义（P＜0.05）。结论：泡沫敷料能够降低结肠造瘘患者造瘘口周炎性物质的分泌，减少
造瘘口周围皮肤的损伤，降低造瘘口并发症的发生，对结肠造瘘口的护理具有重要临床意义。 |
| 英文摘要: |
| Objective:To investigate the inflammatory substance of the stoma of the stoma was the week in colon fistula patients
by foam dressing.Methods:104 patients with colon fistula were selected and divided into control group and experiment group.Control
group were treated by conventional clean stoma, stoma and peripheral skin around the skin smear zinc oxide ointment after the
installation of anal bags. Experiment group were treated on the based on control group with a layer of flat duoderm edge materials and
installation of anus bag. The level of inflammatory substance in the stoma of stoma in stoma in two groups were tested by ELISA and
Skin injury and complications of stoma complications were recorded.Results:Compared with before treatment the level of inflammatory
substance in the stoma of stoma stoma were lower,（P＜0.05）. Compared with the control group the stoma skin integrity rate were higher
after treatment,（P＜0.05）.Compared with the control group the incidence of complications of stoma were lower,（P＜0.05）.Conclusion:Foam dressing can reduce patients with colostomy made fistula inflammatory substance secretion, reduce the fistula of the surrounding
skin damage and reduce stoma complications. |
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