230例先天性巨结肠根治术后患儿不同肛周皮肤护理方法对比研究  

A Comparative Study of Different Perianal Skin Nursing Methods in 230 Children With Hirschsprung's Disease After Radical Operation

作　　者：李欧敏 刘明坤[1] 陈琴 黄雯婷 康育兰[1] LI Oumin;LIU Mingkun;CHEN Qin;HUANG Wenting;KANG Yulan(Department of Paediatric Surgery,Fujian Maternal and Child Health Hospital,Fuzhou Fujian 350001,China)

机构地区：[1]福建省妇幼保健院儿外科,福建福州350001

出　　处：《中国卫生标准管理》2023年第18期186-189,共4页China Health Standard Management

基　　金：福建省科技创新联合资金项目(2020Y9139)。

摘　　要：目的对比先天性巨结肠根治术后患儿不同肛周皮肤护理方法的效果,总结先天性巨结肠根治术后患儿肛周皮肤护理的经验。方法回顾性分析2014年12月—2021年12月福建省妇幼保健院儿外科收治的230例行先天性巨结肠根治术患儿资料。其中短段型巨结肠48例,常见型巨结肠140例,长段型巨结肠23例,全结肠型巨结肠19例。对照组(n=115)采取传统的肛周皮肤护理方法,试验组(n=115)采取改良的肛周皮肤护理方法。比较不同方法护理后皮肤受损程度、肛周皮肤护理操作时间、住院时间。结果试验组患儿皮肤受损程度优于对照组,差异有统计学意义(P<0.05);试验组患儿的肛周护理操作时间为(15.79±2.02)min,与对照组(15.26±2.06)min比较,差异无统计学意义(P>0.05);试验组住院时间为(12.96±2.77)d,明显短于对照组的(15.91±2.53)d(P<0.05)。结论良好的肛周皮肤护理技术、对已出现的皮肤损害进行及时有效的处理和出院后对患儿家属有效的随访及护理指导对预防及改善肛周皮肤损害至关重要。Objective To compare the efficacy of different perianal skin care methods for infants.To summarize the perianal skin nursing experience of children with hirschsprung's disease after radical operation.Methods A total of 230 children with hirschsprung's disease treated in department of paediatric surgery,Fujian Maternal and Child Health Hospital from December 2014 to December 2021 were retrospectively analyzed.Among them,48 cases of short segment hirschsprung's disease,140 cases of common Hirschsprung's disease,23 cases of long segment hirschsprung's disease and 19 cases of total colonic hirschsprung's disease.The control group(n=115)took the traditional perianal skin care method,and the experimental group(n=115)took the improved perianal skin care method.The skin damage degree,perianal skin care operation time and hospital stay were compared after different nursing methods.Results The degree of skin damage in experimental group was better than that in control group,and the difference was statistically significant(P<0.05).The perianal nursing operation time of experimental group was(15.79±2.02)min,compared with control group(15.26±2.06)min,there was no statistical significance(P>0.05).The hospitalization time of experimental group was(12.96±2.77)d,which was shorter than that of control group(15.91±2.53)d(P<0.05).Conclusion Good perianal skin care technology,timely and effective treatment of skin damage and effective follow-up and nursing guidance to the children's family members after discharge are very important to prevent and improve perianal skin damage.

关 键 词：巨结肠 婴儿 皮肤损伤 肛周皮肤护理 微信随访 皮肤保护膜 

分 类 号：R473[医药卫生—护理学]