肠造口术后患者造口皮肤黏膜分离发生现状及影响因素分析  

Analysis of the current situation and influencing factors of stoma mucocutaneous separation in patients after enterostomy

作　　者：叶建红[1] 李红[1] 徐丹[1] 吴金晶[1] Ye Jianhong;Li Hong;Xu Dan;Wu Jinjing(Lishui Central Hospital,Lishui Zhejiang 323000,China)

机构地区：[1]丽水市中心医院,浙江丽水323000

出　　处：《护理与康复》2024年第5期7-11,共5页Journal of Nursing and Rehabilitation

基　　金：浙江省医药卫生科技计划项目,编号2022KY1427。

摘　　要：目的探究肠造口术后患者造口皮肤黏膜分离发生现状,并分析其影响因素。方法采用便利抽样法,选取丽水市中心医院的492例肠造口术后患者为研究对象,根据肠造口皮肤黏膜分离临床症状分为造口皮肤黏膜分离组和非造口皮肤黏膜分离组,采用单因素分析、logistic回归分析其影响因素。结果肠造口术后患者发生造口皮肤黏膜分离110例,发生率为22.4%。Logistic回归分析显示,体重指数≥24.0 kg/m^(2)(OR=2.132)、腹压≥25 mmHg(OR=1.571)、造口黏膜缝线脱落(OR=10.851)、造口周围皮下积液感染(OR=4.197)、回肠造口(OR=2.076)、血红蛋白<90 g/L(OR=1.637)、白蛋白<28 g/L(OR=3.206)的患者造口皮肤黏膜分离发生的风险大(P<0.05)。结论肠造口术后患者造口皮肤黏膜分离发生率较高。超重、腹压升高、造口黏膜缝线脱落、造口周围皮下积液感染、回肠造口、贫血和营养不良为肠造口术后患者发生造口皮肤黏膜分离的危险因素。Objective To investigate the current situation of stoma mucocutaneous separation after enterostomy and analyze its influencing factors.Methods Convenient sampling method was used to select 492 patients who underwent enterostomy at Lishui Central Hospital as the research objects.According to the clinical symptoms of stoma mucocutaneous separation after enterostomy,they were divided into stoma mucocutaneous separation group and non-stoma mucocutaneous separation group.Single factor analysis and logistic regression were used to analyze the influencing factors.Results Stoma mucocutaneous separation occurred in 110 patients after enterostomy,with an incidence of 22.4%.Logistic regression analysis showed that patients with body mass index≥24.0 kg/m 2(OR=2.132),intra-abdominal pressure≥25 mmHg(OR=1.571),stoma mucous membrane suture detachment(OR=10.851),peristomal subcutaneous fluid accumulation infection(OR=4.197),ileostomy(OR=2.076),hemoglobin<90 g/L(OR=1.637),and albumin<28 g/L(OR=3.206)had a higher risk of stoma mucocutaneous separation after enterostomy(P<0.05).Conclusion The incidence of stoma mucocutaneous separation after enterostomy is relatively high.Overweight,elevated intra-abdominal pressure,stoma mucous membrane suture detachment,peristomal subcutaneous fluid accumulation infection,ileostomy,anemia,and malnutrition are risk factors for stoma mucocutaneous separation after enterostomy.

关 键 词：肠造口术 肠造口皮肤黏膜分离 影响因素 

分 类 号：R473.6[医药卫生—护理学]