直肠癌Miles术会阴部敷料固定带的设计及应用

目的提高直肠癌Miles术后会阴部伤口包扎的舒适度，解决会阴部敷料易脱落问题。方法将60例直肠癌行Miles术患者随机分为实验组和对照组，各30例，实验组使用新型固定带，对照组使用传统绷带“丁”字法包扎，对两组患者之间舒适度，包扎时间、换药次数、敷料脱落次数、引流时间、住院天数进行比较分析。结果实验组优舒适度18例占60％，对照组6例占20％，实验组舒适度优于对照组，差异有统计学意义（x2=10．001，P〈0．01）。实验组包扎时间，敷料脱落次数，换药次数分别为（76．67±16．45）s、（2．33±0．52）次、（1．67±1．03）次，对照组别为（290．67±41．05）S、（6．83±1．17）次、（6．33±1．13）次，实验组明显优于对照组，差异有统计学意义（t分别为11．852，8．625，7．826；P〈0．01）。结论会阴部敷料固定带安全、实用，能妥善固定伤口敷料，减少换药次数，利于伤口愈合。

Development and application of perineum fixing band after radical resection of rectal cancer

Objective To improve the comfort level of perineal incision after radical resection of rectal cancer, and to solve the problem of the perineum dressings amotio. Methods 60 patients underwent radical resection were randomly divided into experimental and control group and each group had 30 patients. The perineum fixing band was used in the experimental and traditional fixed methods in the control group. The parameters of comfort level, frequency of dressing＇ s exchange, frequency of dressing＇ s amotio, duration of drainage, hospital day were analyzed. Results The comfort level was better in the experimental group than that in the control group （ The experimental group was better comfort 18 cases accounted for 60%. 6 cases of the control group 20% ） with significant difference （ X2 = 10. 001, P 〈 0. 01 ）. Dressing time, dressing shedding frequency, frequency of dressing changes are （76.67 ±16.45） S, （2.33± 0.52） time, （ 1.67±1.03 ） time in the experimental group, respectively; （290.67±41.05） s, （6.83±1.17） time, （6.33±1.13） time in the control group, respectively with significant difference （ t = 11. 852, 8. 625 .7. 826, respectively; P 〈 0. 01 ）. Conclusions The perineum fixing band is safety, practical, and properly fixed the wound accessories; reduce the number of dressing exchanges, and conducive to wound healing.