卫生棉条配合护肤粉对直肠癌术后腹泻所致皮肤受损患者护理中的应用  

Application of tampons with skin care powder in nursing for patients with skin damage caused by diarrhea after rectal cancer surgery

作　　者：余燕梅[1] 

机构地区：[1]海口市人民医院重症医学科,海南海口570208

出　　处：《结直肠肛门外科》2015年第5期377-380,共4页Journal of Colorectal & Anal Surgery

摘　　要：目的分析卫生棉条联合护肤粉对直肠癌术后腹泻所致皮肤受损护理干预中的应用价值。方法选取我院自2013年8月至2015年5月收治的78例直肠癌术后腹泻所致皮肤受损患者作为研究对象,按完全双盲法分为对照组与观察组,每组39例,对照组采用鞣酸软膏作肛周皮肤护理,观察组则采用卫生棉条联合护肤粉干预,比较两组肛周皮肤损伤程度,统计两组皮损愈合时间,观察两组干预效果。结果观察组干预后皮肤正常、Ⅰ度皮损分别占30.77%、41.03%,均高于对照组,且其Ⅱ度、Ⅲ度皮损分别占25.64%、2.56%,均低于对照组,两组皮肤损伤程度对比差异有统计学意义(P<0.05);观察组显效26例,有效11例,总有效率为94.87%,明显高于对照组的76.92%,对比差异有统计学意义(P<0.05);观察组皮损愈合时间<1d者20例,占51.28%,明显高于对照组的23.08%,愈合时间>3 d者仅6例,占15.38%,明显低于对照组的35.90%,两组对比差异有统计学意义(P<0.05)。结论在直肠癌术后腹泻所致皮肤损伤患者临床干预中,采用卫生棉条联合护肤粉干预方案,可降低患者皮损程度,缩短皮损愈合时间,有其较高的临床推广价值。Objective To analyze the application value of tampons with skin care powder in the nursing intervention for patients with skin damage caused by diarrhea after rectal cancer surgery. Methods 78 patients with skin damage caused by diarrhea after rectal cancer surgery treated in our hospital from August 2013 to May 2015 were selected as the research objects. According to the complete double blind method, the patients were divided into the control group and the observation group of two groups, with 39 cases in each group. The control group received tannic acid ointment for perianal skin care. The observation group received tampons combined with skin care powder intervention. The degree of perianal skin damage of the 2 groups were compared. The time of skin damage healing of the two groups was statistically analyzed and the intervention effect of the two groups was observed. Results In the observation group after the intervention, the normal skin and levelⅠskin damage accounted for 30.77% and 41.03% respectively which were higher than those in the control group. Besides, level ⅡandⅢ skin damage accounted for 25.64% and 2.56%, respectively which were lower than those in the control group.The differences in degree of skin damage between the 2 groups were statistically significant（P〈0.05）; In the observation group, 26 cases were markedly effective and 11 cases were effective. The total effective rate was 94.87%which was significantly higher than that of the control group（76.92%）（P〈0.05）; Patients whose time of skin damage healing shorter than 1d in the observation group were 20 cases, accounting for 51.28% which was significantly higher than that in the control group（23.08%）. Patients whose time of healing longer than 3d were only 6cases, accounting for 15.38% which was significantly lower than that in the control group（35.90%）（P〈0.05）.Conclusion In the clinical intervention for patients with skin damage caused by diarrhea after rectal cancer surgery, the application of tampons combine

关 键 词：直肠癌 腹泻 皮肤损伤 护理 

分 类 号：R473.73[医药卫生—护理学]