不同支撑方式对袢式回肠造口的影响  

Effect of Different Methods of Support for Loop Ileostomy

作　　者：钱小兰[1] 谢玲女[1] 陈亚萍[1] 洪小芳[1] 

机构地区：[1]浙江省肿瘤医院大肠外科,杭州310022

出　　处：《中国中西医结合外科杂志》2013年第3期248-250,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:分析不同支撑方式的直肠癌根治术袢式回肠造口患者发生粪水性皮炎、底板溶胶或渗漏、疼痛情况和自我护理率。方法:128例直肠癌低位前切除加袢式回肠造口患者分别采取皮外Ⅰ型、皮外Ⅱ型和皮下型支撑管,分析评价其效果。结果:皮外Ⅱ型支撑袢式造口皮炎面积(P=0.003)、皮炎损伤程度(P=0.015)较皮外I型及皮下型轻,造口袋底胶溶解或发生渗漏方面明显降低(P=0.005);皮内型患者的自我护理率明显低于皮外I型和皮外II型(P=0.027)。结论:16号橡胶导尿管袢式回肠造口皮上支撑法可减少、减轻粪水性皮炎、提高自我护理能力。Objective To explore the incidences of manure dermatitis, pain, ostomy bottom glue dissolve, leakage and self-care rates in patients after loop ileostomy with rectal cancer. Methods One hundred and twenty eight patients underwent low rectal resection and loop ileostomy, Outside Ⅰ, Outside Ⅱ and Subcutaneous as three different methods were employed to support loop ileostomy, the effects group of different methods of support for loop ileostomy were evaluated. Results the dermatitis area in the method of Outside Ⅱ group was significantly smaller （P=0.003） and the degree lower （P=0.015） than those in the other two methods. While the astomy bottom glue dissolved area or leakage rates had little differences （P=0.005）. However, there was a lower self-care rate in Subcutaneous group. Conclusion Method of Outside Ⅱ with 16# catheter can reduce or alle- viate the patient manure dermatitis, Ostomy bottom glue dissolved area or leakage rate and improve self-care ca- pabilities.

关 键 词：支撑管 回肠造口 并发症 

分 类 号：R657.1[医药卫生—外科学]