皮炎平联合湿润烧伤膏治疗肠造口周围皮炎的疗效观察

目的观察使用皮炎平联合湿润烧伤膏与使用造口护肤粉及皮肤保护膜治疗肠造口皮炎的临床疗效。方法将52例肠造口皮炎患者随机分为实验组和对照组,两组均给予常规护理,实验组应用皮炎平及湿润烧伤膏,对照组应用造口护肤粉及皮肤保护膜,观察两组的治疗效果。结果实验组有效率高于对照组（P＜0．05）。结论皮炎平联合湿润烧伤膏治疗肠造口皮炎方法简单、疗效快、无不良反应、价格低廉等优点,值得临床推广。     

造口护肤粉联合透明贴在肠造口皮肤护理中的应用

目的:在肠造口皮肤护理中联合应用造口护肤粉、透明贴,探析其应用效果。方法:选择80例患者,随机分为对照组与观察组,每组40例,观察组联合应用造口护肤粉和透明贴,对照组利用氧化锌软膏,对比两组护理效果。结果:观察组皮肤损伤情况、治疗总有效率均优于对照组,差异明显,P0.05。结论:在肠造口皮肤护理中联合应用造口护肤粉、透明贴,可以有效避免孙航肠造口皮肤,值得进一步推广。     

造口护肤粉联合透明贴在肠造口皮肤护理中的应用

目的 :在肠造口皮肤护理中联合应用造口护肤粉、透明贴,探析其应用效果。方法 :选择80例患者,随机分为对照组与观察组,每组40例,观察组联合应用造口护肤粉和透明贴,对照组利用氧化锌软膏,对比两组护理效果。结果:观察组皮肤损伤情况、治疗总有效率均优于对照组,差异明显,P0.05。结论 :在肠造口皮肤护理中联合应用造口护肤粉、透明贴,可以有效避免孙航肠造口皮肤,值得进一步推广。     

15例肠造口周围皮肤迟发型过敏反应的护理体会

目的:总结并探讨15例肠造口周围皮肤发生迟发性过敏性反应的处理方法.方法:对15例肠造口周围皮肤发生的迟发型过敏反应,及时查找原因,给予对症治疗与处理.结果:15例患者均得到及时有效治疗,并在2周内全部愈合,效果满意.结论:通过规范的造口护理,强调造口患者出院后的随诊及回访,能够及时发现并明确肠造口周围皮肤迟发性过敏性皮炎的发生,并给予患者积极有效的处理,从而提高造口患者的生活质量.     

针对性护理在肠造口皮肤黏膜分离伤口中护理价值及对患者疼痛与愈合时间影响

目的:研究针对性护理在肠造口皮肤黏膜分离伤口中护理价值及对患者疼痛与愈合时间影响.方法:此次研究对象为我院2019年4月至2020年4月期间收治的74例肠造口皮肤黏膜分离伤口患者,根据随机数字表法进行分组,将患者平均分两组,即参照组和研究组,每组37例,在参照组中实施常规护理,在研究组中实施针对性护理.对两组护理前后疼...     

肠造口患者中实施个性化护理的效果分析

目的研究肠造口患者实施个性化护理的效果。方法采用随机数字表法将吉林市北华大学附属医院2015年8月-2016年12月收治的110例肠造口患者分为对照组和观察组,每组各55例;对照组实施常规护理,观察组实施个性化护理,研究肠造口患者实施个性化护理的效果。结果观察组患者掌握的更换造口袋、扩肛技巧、饮食指导、处理造口周围皮肤等知识程度高于对照组,差异均有统计学意义(P0.05)。结论肠造口患者实施个性化护理有助于患者和家属了解造口护理知识,使自我护理状态有效达成,也可以促进护理人员主动学习,增加成就感,值得临床应用推广。     

肠造口周围皮肤常见问题护理进展

肠造口周围皮肤问题是一种临床常见的造口并发症,肠造口周围皮肤问题临床发病率可达18%~60%,严重影响了患者的生活质量,加重了患者的心理负担,因此积极、有效、合理的临床护理尤为重要。引起造口周围皮肤问题的原因包括化学损伤、机械性刺激、免疫反应以及多种皮肤病。肠造口患者的年龄、体质、基础病、造口定位、造口类型、术后健康教育等都是引起周围皮肤问题的常见危险因素。本文就当前肠造口患者的造口周围皮肤常见并发症的护理进展进行综述,为临床护理提供依据,以期降低肠造口周围皮肤问题的发生,提高患者的生活质量。     

胃肠科腹泻患者肛周皮肤的护理研究

目的 寻找胃肠道手术后腹泻患者肛周皮肤的有效护理方法.方法 将胃肠道手术后腹泻的患者66例随机分成观察组与对照组各33例,每次便后予常规皮肤护理后,观察组采用Ⅳ3000透明敷料与造口护肤粉护肤,对照组采用爽身粉护肤.结果 观察组肛周皮肤损伤率为24.24％,对照组肛周皮肤损伤率为63.64％,两组比较P＜0.05,差异有统计学意义.结论 Ⅳ3000透明敷料与造口护肤粉保护腹泻患者肛周皮肤效果明显,应用于胃肠道手术后腹泻患者,可以有效预防肛周皮肤损伤的发生.     

五倍子粉联合氧化锌软膏对瘘周皮肤保护的观察与护理

目的 探讨瘘周皮肤保护的新方法,提高患者的舒适感.方法 将31例肠外瘘(32个瘘口)恢复期患者,按就诊顺序分为对照组和观察组,分别采用氧化锌软膏单用和五倍子粉-氧化锌软膏混合剂治疗及护理,比较两组疗效.结果 在瘘周皮肤的完整性保护、减轻患者疼痛方面两组比较有显著性差异(P<0.01).结论 五倍子粉联合氧化锌软膏对瘘周皮肤保护效果确切,护理操作简便、安全,值得临床推广使用.     

以专科护士为主导应用个案管理模式对新肠造口患者病耻感的影响

目的：探讨以专科护士为主导应用个案管理模式对新肠造口患者病耻感的影响。方法：选取南海区人民医院2021年4月至2022年4月因疾病需要行手术治疗形成新肠造口的60例患者,以常规的肠造口护理为基础,在造口的第一天、一周、出院后一月采取以专科护士为主导应用个案管理模式。观察新肠造口患者的造口出血、造口周围皮炎、造口狭窄和造口脱垂等并发症发生率,比较护理前后新肠造口患者的病耻感评分,统计新肠造口患者的满意度情况。结果：应用个案管理模式后,60例新肠造口患者发生造口出血2例（3.33%）、造口周围皮炎2例（3.33%）、没有出现造口狭窄和造口脱垂情况,造口出血、造口周围皮炎、造口狭窄和造口脱垂等并发症的总发生率为6.67%;护理后,新肠造口患者的经济歧视、社会排斥感、社会隔离感和内在羞愧感评分均明显低于护理前（P <0.05）;60例新肠造口患者非常满意34例（56.67%）、基本满意24例（40.00%）、不满意2例（3.33%）,满意度为96.67%(58/60)。结论：以专科护士为主导应用个案管理模式可以减轻新肠造口患者的病耻感,减少患者并发症的发生,患者的满意度更高,临床可进行推...     

康乐保保护膜保护法应用于小儿肠造口术后瘘周皮炎的护理分析

目的通过与其他应用于小儿肠造口术后瘘周皮炎护理的方法相比较,讨论康乐保保护膜保护法在小儿肠造口术后发生瘘周皮炎护理上的优点。方法抽出从2011年1月—2012年10月在该院进行肠造口手术发生瘘周皮炎的85例患儿进行分组护理。结果在对42例患儿临床观察中,通过对两种护理方法对比得出:采用康乐保保护膜保护法护理瘘周皮炎患儿效果显著。结论小儿肠造口术后发生瘘周皮炎护理难度大,根据我院临床护理经验,采用康乐保保护膜+造口袋进行小儿肠造口护理,对瘘周皮炎的发生有很好的预防和治疗效果。     

创口保护膜和皮肤保护粉在大便失禁致肛周皮肤损伤中的应用

目的探讨创口保护膜和皮肤保护粉联合应用在大便失禁致肛周皮肤损伤治疗中的应用价值。方法将创口保护膜和皮肤保护粉对肛周皮肤损伤的疗效与鞣酸软膏的疗效做差异性分析。结果创口保护膜结合皮肤保护粉在大便失禁导致的肛周皮肤损伤的治疗效果显著优于鞣酸软膏的疗效,差异具有统计学意义。结论创口保护膜和皮肤保护粉联合应用在大便失禁致肛周皮肤损伤治疗中具有较高的临床应用价值。     

创口保护膜和皮肤保护粉在大便失禁致肛周皮肤损伤中的应用

目的探讨创口保护膜和皮肤保护粉联合应用在大便失禁致肛周皮肤损伤治疗中的应用价值。方法将创口保护膜和皮肤保护粉对肛周皮肤损伤的疗效与鞣酸软膏的疗效做差异性分析。结果创口保护膜结合皮肤保护粉在大便失禁导致的肛周皮肤损伤的治疗效果显著优于鞣酸软膏的疗效,差异具有统计学意义。结论创口保护膜和皮肤保护粉联合应用在大便失禁致肛周皮肤损伤治疗中具有较高的临床应用价值。     

Hygienic assessment of protective effects of overalls and individual protective devices used in the production of ampicillin trihydrate and its dosage form, ampicillin sodium salt

The working clothes and individual protective devices recommended by the industrial Rules for the production of ampicillin trihydrate and its medicinal derivatives such as natrium salt ampicillin, do not provide adequate protection of the skin and respiratory mucous from antibiotic contamination. The use of the overalls in combination with the pressurized helmet (designed and produced at the 'Sintez' enterprise) which provided air supply for breathing and, partially, under the overalls, significantly decreased contamination of the body. At the stages of manual handling of the finished products, adequate protection was attained by using the protective paste produced at the 'Altaivitamine' enterprise.     

中心静脉置管术后局部皮肤并发症原因分析及预防对策

目的探讨中心静脉置管术后局部皮肤并发症发生的原因及预防对策。方法对2007年1月-2008年12月中心静脉置管患者中发生局部皮肤并发症的12例患者进行调查与分析。结果中心静脉置管术后局部皮肤并发症,与患者皮肤对透明敷贴上的黏胶或消毒剂过敏,敷贴粘贴方法不正确引起的张力性损伤、敷贴更换过频,引起表皮撕脱等有关。结论选择柔软、透气性佳,黏性温和、低致敏性敷贴和不含乙醇的聚维酮碘消毒剂,正确更换敷贴,严格无菌操作,加强宣教和观察等,是预防中心静脉置管术后局部皮肤并发症的关键。     

Temporary loop ileostomy.

A refinement of the technique for constructing the temporary loop ileostomy using a subcutaneous absorbable bridge is described. This leaves the skin surface uncluttered and allows immediate fitting of a watertight appliance. Clinical experience in 22 patients confirms that this is a safe, simple defunctioning stoma with few complications and in our practice has also replaced the loop colostomy as the covering stoma for difficult colorectal anastomoses.     

护肤粉在危重症患者腹泻与失禁皮肤护理中的应用

目的探讨护肤粉用于危重症患者腹泻及大便失禁预防肛周皮肤损伤的效果。方法将74例因腹泻或大便失禁的危重患者按随机数字表分为观察组37例、对照组37例,观察组用施贵宝护肤粉,对照组用红霉素软膏,比较两组患者肛周皮肤损伤发生情况。结果观察组有4例(10.81%)患者发生肛周皮肤发生损伤,而对照组的有15例(40.54%)。两组比较,观察组的肛周皮肤损害发生率较对照组的低,且具有显著差异(p<0.01)。结论护肤粉用于危重症患者腹泻及大便失禁护理预防肛周皮肤损伤,效果明显优于红霉素软膏。     

Diacetyl emissions and airborne dust from butter flavorings used in microwave popcorn production

In microwave popcorn workers, exposure to butter flavorings has been associated with fixed obstructive lung disease resembling bronchiolitis obliterans. Inhalation toxicology studies have shown severe respiratory effects in rats exposed to vapors from a paste butter flavoring, and to diacetyl, a diketone found in most butter flavorings. To gain a better understanding of worker exposures, we assessed diacetyl emissions and airborne dust levels from butter flavorings used by several microwave popcorn manufacturing companies. We heated bulk samples of 40 different butter flavorings (liquids, pastes, and powders) to approximately 50 degrees C and used gas chromatography, with a mass selective detector, to measure the relative abundance of volatile organic compounds emitted. Air sampling was conducted for diacetyl and for total and respirable dust during the mixing of powder, liquid, or paste flavorings with heated soybean oil at a microwave popcorn plant. To further examine the potential for respiratory exposures to powders, we measured dust generated during different simulated methods of manual handling of several powder butter flavorings. Powder flavorings were found to give off much lower diacetyl emissions than pastes or liquids. The mean diacetyl emissions from liquids and pastes were 64 and 26 times larger, respectively, than the mean of diacetyl emissions from powders. The median diacetyl emissions from liquids and pastes were 364 and 72 times larger, respectively, than the median of diacetyl emissions from powders. Fourteen of 16 powders had diacetyl emissions that were lower than the diacetyl emissions from any liquid flavoring and from most paste flavorings. However, simulated handling of powder flavorings showed that a substantial amount of the airborne dust generated was of respirable size and could thus pose its own respiratory hazard. Companies that use butter flavorings should consider substituting flavorings with lower diacetyl emissions and the use of ventilation and enclosure engineering controls to minimize exposures. Until controls are fully implemented, companies should institute mandatory respiratory protection for all exposed workers.     

Percutaneous absorption of inorganic lead compounds

The objective of this study was to determine percutaneous absorption of lead compounds, including lead sulfate, lead oxide, lead powder, and lead stearate. The lead content on the skin surface of 10 lead-battery workers was measured by the method of skin stripping, and urinary lead content of rats was measured with epicutaneous application of four lead compounds: lead sulfate, lead oxide, lead powder, and lead stearate. There were significant amounts of lead on the 9th and 10th skin strippings of the dorsal hand and the back of lead workers. The amount of lead on the dorsal hand was significantly correlated with the amount in the blood (n = 10, r 2 = 0.66, p < 0.05, linear regression). In rats, after lead compounds were applied for 12 days, total lead amount in urine significantly increased to 146.0 +/- 6.4 ng (SD) for lead stearate, 123.1 +/- 7.2 ng for lead sulfate, 115.9 +/- 5.3 ng for lead oxide, 47.8 +/- 6.9 ng for lead powder, and 10.3 ng for the control, which indicated significant skin absorption. It was concluded that significant amounts of inorganic lead compounds can be absorbed through the skin, and skin protection in lead-working or any contaminated environment should be carefully considered.     

永久性结肠造口患者的自尊状况调查

目的描述永久性结肠造口患者的自尊水平。方法采用描述性研究设计,采取便利取样法,应用自尊量表和一般资料调查表分别调查30例结肠造口患者的自尊水平和一般情况。结果永久性结肠造口患者自尊的平均水平为中等：13．3％属低水平,73．6％属中等水平,13．3％属高水平。结论大多数结肠造口患者的自尊水平为中等水平,提示护理人员应关注结肠造口患者的自尊情况,尽量为结肠造口患者营造一个良好的家庭及社会环境,让结肠造口患者更好的融入社会。