fecal incontinence care about the endotracheal tube（大便失禁关心气管导管）.docVIP

Fecal incontinence care about the endotracheal tube Emergency and severe [Abstract] coma and paraplegia patients in clinical practice often occurs fecal incontinence, the occurrence rate of 46.0% -54.4% #185;. Therefore often even ulceration of the perianal skin flushing, bed unit easy to dirty. Stool on Last sacral skin irritation, high-risk patients with pressure sores incentives if the end of the sacral Ministry of pressure sores in patients but also increase the chance of infection. traditional methods of care can not avoid these complications, thereby increasing the patient’s painful, prolonged hospital stay, increased hospital costs #178; At present, a lot of fecal incontinence, perianal skin care method, I applied anal indwelling of disposable tracheal catheter drainage feces, results were satisfactory. The [Keywords the fecal incontinence hip pressure sores endotracheal tube nursing titles of papers 1 Materials and Methods 1.1 Clinical data September 2009 -2011 July hospital intensive care unit in critical merger fecal incontinence in 87 patients, 51 males and 36 females, aged 29-88 years old, the average age of 69 years old. Remaining time up to 167h shortest 24h. caused the main reason for fecal incontinence nervous system dysfunction and long-term high-dose use of broad-spectrum antibiotics, pseudomembranous colitis caused by such patients had fecal contamination (dailygt; = 5 or recurrent pollution #179; . 2 Methods 2.1 intubation patients were supine or lateral position. Wearing gloves with paraffin oil lubricated catheter tip 15-20cm from the anus into 15-20cm, 15-20ml gas is injected in to the air bag, the distal end of the catheter is connected to anti-reflux drainage bag hanging on the bed, the catheter is fixed to the inner thighs 2.2 methods of care in patients with perianal skin twice a day with warm water and scrub every 4-6h catheter balloon deflated once every 10-15min Select stool outflow tube deflation timing sque