直肠癌结肠造口病人生活质量的调查分析

目的了解直肠癌结肠造口病人的生活质量，分析其影响因素，为提高直肠癌结肠造口病人生活质量提供依据。方法对40例直肠癌结肠造口病人进行问卷调查，收集资料进行分析。结果本组造口病人生活质量总体评分仅为56．87，生活质量影响因素主要有年龄、婚姻状况、文化程度、自理能力、排便是否规律、造口时间、是否参加造口联谊会等。结论应根据病人的具体情况，加强院外健康教育，提高自理能力，建立规律排便，以改善病人生活质量。     

Use of a disposable umbilical cord clamp in end colostomy

A method is described in which a simple disposable plastic umbilical cord clamp replaces the traditional cumbersome instrument or expensive staples in the operation of end colostomy.     

结肠造口患者生活质量与残障接受度的相关性研究

目的 探讨直肠癌永久性结肠造口患者的生活质量与残障接受度的相关性.方法 采用方便抽样的方法,调查111例直肠癌永久性结肠造口患者.采用一般资料调查表、癌症患者生活质量专用量表(QLQ-C30)、直肠癌特异性症状量表(QLQ-CR38)和残障接受度量表分别调查研究对象的一般情况、生活质量和残障接受度,并使用SPSS17.0软件包进行统计分析.结果 结肠造口患者的整体健康状况得分高于参考值,残障接受度得分处于中等水平.结肠造口患者的整体健康状况、各功能维度、症状维度中的疼痛、失眠、食欲、经济困难的感知、泌尿、胃肠道、化疗不良反应、造口相关问题、体质量减轻等维度/条目得分与患者的残障接受度得分呈显著相关.结论 造口患者残障接受度水平与生活质量密切相关,应提高患者的残障接受度水平来帮助患者获得更好的生活质量.     

Laser Doppler velocimetry and the measurement of colostomy blood flow

Early colostomy closure leads to a high rate of fecal fistula formation which may be due to a poor blood supply. Laser Doppler flowmetry is a new method of measuring colonic blood flow. Blood flow in 17 colostomies has been measured at one week, median flux 28 units (range, 13 to 43) and in 12 colostomies more than eight weeks after formation, median flux 46 units (range, 35–56;P<0.002). Nine of the “mature” colostomies have been closed without a fecal fistula or other signs of anastomotic failure. Serial readings of colostomy blood flow were made at weekly intervals in another ten stomas over a period of two months. Blood flow increased over this time from a median of 19 units (range, 17 to 22) at one week to a median of 44 units (range, 39 to 48;P<0.002) at eight weeks. Laser Doppler flowmetry is a simple, noninvasive method of measuring colostomy blood flow and the findings support a clinical policy for delayed colostomy closure.