造口护肤粉联合皮肤保护膜在肛瘘术后护理中的应用及效果评价

发布时间：2018-06-08 09:51

本文选题：直肠瘘 + 湿疹　；参考：《中华护理杂志》2017年S1期

【摘要】：目的探讨造口护肤粉联合皮肤保护膜在肛瘘术后防治继发性湿疹的应用效果。方法入选83例肛瘘手术患者,随机分为试验组和对照组。试验组在常规处理伤口的基础上,使用造口护肤粉联合皮肤保护膜保护肛周皮肤。对照组常规处理伤口。观察两组术后4 d、14 d、24 d肛周皮肤发生瘙痒的程度、发作时间,以及皮损的例数、面积及湿疹痊愈的时间。结果试验组3个时间节点皮肤发生瘙痒的程度均低于对照组,差异有统计学意义(P0.05);试验组3个时间节点换药后瘙痒发作的时间均迟于对照组,差异有统计学意义(P0.05);试验组3个时间节点皮损发生的例数少于对照组,差异有统计学意义(P0.05),面积小于对照组,差异有统计学意义(P0.05);试验组湿疹痊愈时间少于对照组,差异有统计学意义(P0.05)。结论造口护肤粉联合使用皮肤保护膜隔离肛瘘术后伤口分泌物和肛门溢液有效,对肛瘘术后继发性肛周湿疹有预防和治疗作用。
[Abstract]:Objective to investigate the effect of skin powder combined with skin protective film in prevention and treatment of secondary eczema after anal fistula. Methods Eighty-three patients with anal fistula were randomly divided into experimental group and control group. On the basis of routine treatment of wounds, the experimental group used skin care powder combined with skin protective film to protect perianal skin. The wounds in the control group were treated routinely. The degree of pruritus, the time of onset, the number of lesions, the area and the time of recovery of eczema were observed on the 4th day, 14th day and 24th day after operation. Results the degree of pruritus at three time points in the trial group was lower than that in the control group, the difference was statistically significant (P 0.05), and the time of the pruritus attack in the three time nodes of the test group was later than that in the control group. The difference was statistically significant (P 0.05), the number of cases of nodal lesions in the experimental group was less than that in the control group, the difference was statistically significant (P 0.05), the area was smaller than that in the control group (P 0.05), the recovery time of eczema in the test group was less than that in the control group. The difference was statistically significant (P 0.05). Conclusion the combination of skin protection powder and skin protective membrane is effective in preventing and treating secondary perianal eczema after anal fistula.
【作者单位】：浙江大学医学院附属第一医院肛肠外科;
【分类号】：R473.6

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