藻酸盐联合水胶体敷料在肠造口周围皮炎中的应用效果  

Application effect of alginate combined with hydrocolloid dressing in per-i-ostomy dermatitis

作　　者：黎衍香 谢玉兰[1] 王小惠 胡灵燕 LI Yan-xiang;XIE Yu-lan;WANG Xiao-hui;HU Ling-yan(Department of Gastrointestinal Hernia Surgery,Cangzhou People′s Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院胃肠疝外科

出　　处：《中国当代医药》2020年第2期205-207,共3页China Modern Medicine

基　　金：江西省赣州市卫生和计划生育委员会科研计划项目(2018-2-4)

摘　　要：目的观察藻酸盐联合水胶体敷料治疗肠造口周围皮炎的临床效果。方法选取2018年1~12月我院收治的48例肠造口术周围皮炎患者作为研究对象。根据入院顺序分为观察组(24例)和对照组(24例)。观察组用藻酸盐联合水胶体敷料,对照组用皮肤保护膜加护肤粉,比较两组炎症消退速度、治疗效果。结果观察组治疗总有效率为91.67%,高于对照组的66.67%,差异有统计学意义(P<0.05)。两组治疗3、6 d的造口周围皮肤评估工具(DET/AIM)评分比较,差异无统计学意义(P>0.05);观察组治疗6、9、12 d的DET/AIM评分均低于治疗3 d,差异有统计学意义(P<0.05);对照组治疗9、12 d的DET/AIM评分均低于治疗3 d,差异有统计学意义(P<0.05);观察组治疗9、12 d的DET/AIM评分低于对照组,差异有统计学意义(P<0.05)。结论在肠造口术后周围皮炎中用水胶体敷料联合藻酸盐治疗,有显著治疗效果,临床应用及推广价值较高。Objective To observe the clinical effect of alginate combined with hydrocolloid dressing in the treatment of peri-ostomy dermatitis.Methods Forty-eight patients with peripheral dermatitis after bowel fistula admitted to our hospital from January to December 2018 were enrolled in the study as subjects.They were divided into observation group(24 cases)and control group(24 cases)according to the order of admission.The observation group used alginate combined with hydrocolloid dressing,and the control group used skin protective film plus skin care powder,the rate of inflammation regression and treatment effect between two group were compared.Results The total effective rate of the observation group was 91.66%,which was higher than that of the control group(66.66%),the difference was statistically significant(P<0.05).There was no significant difference in peristomal skin score tool(DET/AIM)scores between the two groups at 3 and 6 d(P>0.05).The scores of DET/AIM in the observation group on the 6,9 and 12th d were lower than that treatment for 3 d,the differences were statistically significant(P<0.05).the DET/AIM scores of the control group for 9 and 12 days were lower than the treatment for 3 d,the differences were statistically significant(P<0.05).Conclusion The application of hydrocolloid dressing combined with alginate in peripheral dermatitis after enterostomy has significant therapeutic effect and is of high clinical application and promotion value.

关 键 词：藻酸盐 水胶体敷料 肠造口周围皮炎 

分 类 号：R473.73[医药卫生—护理学]