自制简易密闭负压引流联合局部氧疗在肠造口术后合并肠瘘患者中的应用研究  

Application of self-made simple airtight vacuum drainage combined with local oxygen therapy in patients with intestinal fistula after enterostomy

作　　者：魏玲[1] WEI Ling(Ganzhou People′s Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院,江西赣州341000

出　　处：《临床医药实践》2022年第4期304-306,共3页Proceeding of Clinical Medicine

基　　金：江西省卫生健康委员会科技计划项目(项目编号:202120030)。

摘　　要：目的:探讨自制简易密闭负压引流联合局部氧疗在肠造口术后合并肠瘘患者中的应用效果。方法:选择2020年6月—2021年6月收治的70例肠造口术后合并肠瘘患者,按随机数字表法分为观察组和对照组,每组35例。对照组采用在伤口处放置引流条的传统换药法治疗,观察组采用自制简易密闭负压引流联合局部氧疗治疗。比较两组换药次数、住院时间、视觉模拟评分法(VAS)评分、瘘口愈合率、瘘口皮炎发生率及生活质量。结果:观察组换药次数少于对照组,住院时间短于对照组,VAS评分低于对照组,瘘口愈合率高于对照组,瘘口皮炎发生率低于对照组,身体活动能力、社会活动能力、睡眠、情感、疼痛及精力等生活质量各维度评分均低于对照组,差异有统计学意义(P<0.05)。结论:自制简易密闭负压引流联合局部氧疗用于肠造口术后合并肠瘘患者中,有利于减少换药次数,促进瘘口愈合,降低瘘口皮炎发生率,缩短患者住院时间,提高患者生活质量。Objective:To study the application effect of self-made simple closed vacuum drainage combined with local oxygen therapy in patients with intestinal fistula after enterostomy.Methods:Seventy patients with intestinal fistula after enterostomy who were treated in hospital from June 2020 to September 2020 were selected.They were divided into two groups according to the random number table method,with 35 cases in each group.The control group was treated with a traditional dressing change method in which drainage strips were placed on the wound,and the observation group was treated with self-made simple airtight negative pressure drainage combined with local oxygen therapy.The number of dressing changes,hospital stay,visual analogue scale(VAS) score,fistula healing rate,incidence of fistula dermatitis and quality of life were compared between the two groups.Results:The observation group had fewer dressing changes than the control group,shorter hospital stays than the control group,VAS score lower than the control group,fistula healing rate higher than the control group,fistula dermatitis incidence lower than the control group,the scores of each dimension of quality of life such asy,sleep,emotion,pain and energy were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:Self-made simple closed negative pressure drainage combined with local oxygen therapy for patients with intestinal fistula after enterostomy is beneficial to reduce the number of dressing changes,promote fistula healing,reduce the incidence of fistula dermatitis,shorten the length of hospital stay,and increase the life quality can be used as a safe and effective treatment for patients with intestinal fistula after enterostomy.

关 键 词：肠造口术后合并肠瘘 自制简易密闭负压引流 局部氧疗 换药次数 瘘口愈合 

分 类 号：R641[医药卫生—外科学]