创口保护膜联合雷佛奴尔湿敷对大便失禁皮肤糜烂护理应用.docVIP

精品论文 参考文献 创口保护膜联合雷佛奴尔湿敷对大便失禁皮肤糜烂护理应用 胡桂英 李华萍 胡明秋 　　（韶关市第一人民医院神经内二科 512000） 　　【摘要】目的 探讨创口保护膜联合雷佛奴尔湿敷对大便失禁皮肤糜烂的临床疗效。方法 56例肛周皮肤糜烂患者随机分为观察组和对照组各28例，观察组清洁糜烂皮肤后，先用雷佛奴尔纱块湿敷，然后喷洒3M创口保护膜；对照组患者清洁糜烂皮肤后，先外涂氧化锌软膏，然后喷洒3M创口保护膜。比较两组的皮肤糜烂愈合情况、平均愈合时间和护理的满意度。结果 观察组的总有效率为92.9%，显著高于对照组的67.9%（Plt;0.05）；观察组的平均愈合时间显著短于对照组（8.7plusmn;2.1 vs 13.5plusmn;3.8，Plt;0.05）；观察组患者对护理的满意度为100.0%，显著高于对照的82.1%（Plt;0.05）。结论 创口保护膜联合雷佛奴尔湿敷治疗大便失禁皮肤糜???疗效显著，可以缩短患者的愈合时间，值得在临床推广。 　　【关键词】 大便失禁 皮肤糜烂 创口保护膜 雷佛奴尔 　　【中图分类号】R473.5 【文献标识码】A 【文章编号】2095-1752（2014）20-0086-02 　　【Abstract】Objective To explore the effect of 3M cavilon combined with rivanol wet compress in patients of fecal incontinence associated erosion. Methods 56 perianal erosion patients were divided into experimental group (28 patients) and control group (28 patients) at random. After debridement, the experimental group were treated with 3M cavilon after wet compressed with rivanol, and the control group were treated with 3M cavilon after applied unguentum zinci oxidi. The healing situation, average healing time and nursing satisfaction of the two groups were compared according to the collected data. Results The total effective rate of the experimental group (92.9%) was significantly higher than the control grouprsquo;s (67.9%), the healing time of the experimental group (8.7plusmn;2.1 d) was significantly decreased than the control grouprsquo;s (13.5plusmn;3.8 d), and the nursing satisfaction of the experimental group (100%) was higher than the control grouprsquo;s (82.1%). Conclusions 3M cavilon combined with rivanol wet compress in patients of fecal incontinence associated erosion could get a marked curative effect and decreased healing time, it is worth to generalize. 　　【Key words】 fecal incontinence perianal erosion 3M cavilon rivanol 　　大便失禁是指肛门或其相关神经损伤而引起的肛管括约肌功能障碍，导致其不能自主控制粪便和气体排出的病理状态[1]。肛周皮肤糜烂是大便失禁患者常见的并发症，不仅增加了患者的痛苦和心理负担，而且增加了护理工作的难度。报道显示普通人群大便失禁的发生率为1%～2.2%，老年人、危重病人及