湿性愈合敷料联合伤口评估三角在肠造口皮肤黏膜分离中的应用效果

目的探讨伤口评估三角联合湿性敷料治疗结肠造口病人皮肤黏膜分离的临床效果。方法选取Miles术后并发肠造口皮肤黏膜分离的病人70例，采用随机数字表法将其分为观察组34，对照组36例。对照组病人采取造口常规护理并且皮肤黏膜分离创面使用油纱条敷料填塞，观察组病人应用伤口评估三角联合湿性愈合敷料处理分离处伤口。比较2组病人的伤口愈合时间、平均换药次数、造口狭窄和造口周围皮炎的发生率，以及2组病人生活质量评分和对护理满意度的影响。结果观察组病人伤口愈合时间显著短于对照组病人(P < 0.01)；伤口平均换药次数少于对照组(P < 0.01)；造口狭窄发生率低于对照组(P < 0.01)；造口周围皮炎发生率低于对照组(P < 0.01)；生活质量评分高于对照组(P < 0.01)；护理满意度高于对照组(P < 0.05)。结论伤口评估三角联合湿性愈合敷料可以加速肠造口皮肤黏膜分离处创面的愈合，减少换药次数、减少医护工作量，减少造口狭窄和周围皮炎发生率，提高病人生活质量及满意度。

Application effects of the wet healing dressing combined with wound assessment triangulation in skin and mucosa separation of enterostomy

ObjectiveTo investigate the clinical effects of wound assessment triangulation combined with wet dressing on skin and mucosa separation in patients treated with colostomy.MethodsSeventy patients with enterostomy skin complicated with mucosa separation after Miles operation were selected, and divided into the observation group(n=34) and control group(n=36) by random number table method.The control group was treated with the routine stoma nursing, and the skin and mucosa separation wound was filled with oilgauze dressing.The observation group was treated with the wound assessment triangle combined with wet healing dressing.The wound healing time, average number of dressing changes, incidence of stoma stenosis and peristoma dermatitis were compared between two groups.The effects of the scores of life quality in two groups on the nursing satisfaction were compared between two groups.ResultsThe wound healing time in observation group was significantly shorter than that in control group(P < 0.01).The average number of dressing changes in observation group was less than that in control group(P < 0.01).The incidence rate of stoma stenosis in observation group was lower than that in control group(P < 0.01).The incidence rate of peristomal dermatitis in observation group was lower than that in control group(P < 0.01).The quality of life score in observation group was higher than that in control group(P < 0.01).The nursing satisfaction in observation group was higher than that in control group(P < 0.05).ConclusionsThe wound evaluation triangulation combined with wet healing dressing can promote the wound healing at the separation of skin and mucosa of enterostomy, reduce the dressing times, reduce the workload of medical care, reduce the incidence rates of stenosis and peripheral dermatitis, and improve the quality of life and improve nursing satisfaction of patients.