造血干细胞移植病人肛周感染的预防护理  

Prevention and Nursing Care of Perianal Infection Following Hemopoietic Stem Cell Transplantation

作　　者：金银慧[1] 刘娟[1] 董迎春[1] 汪忆梅[1] 包艳[1] 

机构地区：[1]昆明医学院第一附属医院血液科,昆明650032

出　　处：《护理学杂志（综合版）》2002年第6期441-442,共2页Journal of Nursing Science

摘　　要：目的探讨造血干细胞移植 (HSCT)病人肛周感染的有效预防措施。方法将 31例HSCT病人随机分为观察组 (16例 )和对照组 (15例 )。进住无菌层流室后 ,观察组于晨、晚间及每次排便后 ,用 1∶2 0 0 0洗必泰液冲洗肛周后加用 1∶5 0 0 0高锰酸钾液坐浴 2 0min ;对照组仅用 1∶2 0 0 0洗必泰液冲洗肛周。直至HSCT术毕出层流室。两组其它预防护理方法相同。结果观察组未发生肛周感染 ,对照组肛周感染 4例 ,经确切概率法检验 ,P =0 0 4 3,差异有显著性意义。结论HSCT病人入无菌层流室后 ,于晨、晚间及排便后 ,用洗必泰液冲洗肛周后加用高锰酸钾液坐浴 。Objective To explore the effective prevention of perianal infection following hemopoietic stem cell transplantation (HSCT). Methods Thirty one cases undergoing HSCT were randomly divided into observation group ( n =16) and control group ( n =15). After entering the aseptic laminar flow room, the patients in the observation group underwent perianal flushing with 1∶2 000 chlorhexidine solution followed by hip bath with 1∶5 000 pota ssium permanganate for 20 min in the morning, evening and after each defecation. The patients in the control group only underwent perianal flushing with 1∶2 000 chlorhexidine. Results In the observation group, no perianal infection occurred, while 4 cases in the control group suffered from perianal infection, with the difference being significant ( P =0 043). Conclusion Perianal flushing with chlorhexidine solution followed by hip bath with potassium permanganate could effectively prevent the perianal infection.

关 键 词：造血干细胞移植 肛周感染 预防 护理 

分 类 号：R457[医药卫生—治疗学] R473.6[医药卫生—临床医学]