结肠造口灌洗对造口周围皮肤健康状况的影响

目的探讨结肠造口灌洗对病人造口周围皮肤健康状况的影响。方法将入选的77例直肠癌结肠造口病人随机分为2组,干预组(39例)和对照组(38例)。住院和随访期间,干预组采用结肠造口灌洗规范护理,对照组采用自然排便传统造口袋护理。干预后对两组病人进行随访,并分别于干预前、干预后1个月及3个月采用造口周围皮肤健康状况评分系统(DET评分系统)对病人造口周围皮肤的健康状况进行量化评估。结果干预组造口周围皮肤的健康状况评分在干预后1个月和3个月时均显著低于对照组,差异有统计学意义(P均<0.05)。结论结肠造口灌洗护理相比传统造口袋护理更能保护病人造口周围的皮肤,降低造口周围皮肤并发症,提高病人的生活质量。

The effect of colostomy irrigation on the peristomal skin in patients with permanent colostomy

Objective This study was designed to investigate the effect of colostomy irrigation on the peristomal skin in patients with permanent colostomy.Methods A prospective study was used.77 rectal carcinoma patients with permanent colostomy from October 2010 to October 2011 were divided into the observation group(39 cases) and the control group(38 cases) using randomized controlled method.The observation group patients were treated with colostomy irrigation care,and the control group patients were treated with naturally regulative defecation care.All the patients were followed up three or more months,and the peristomal skin changes were measured using the Discoloration,Erosion,Tissue overgrowth(DET) score at discharge,one month and three months after discharge.Result The DET scores of the observation group were significantly lower than those of the control group at the follow-up of one month and three months.The difference was statistically significant(P<0.05).Conclusion Colostomy irrigation care can provide better protection for the peristomal skin in patients with permanent colostomy and improve patients′ quality of life.