危重患者腹泻引起肛周皮炎不同处理方法的效果分析.docVIP

精品论文 参考文献 危重患者腹泻引起肛周皮炎不同处理方法的效果分析 广东省佛山市第一人民医院ICU 528000 【摘 要】目的 分析危重患者腹泻引起肛周皮炎的不同处理方法的效果差异。方法 收集2014年2月-2015年2月本院ICU收治的危重患者中发生腹泻患者100例，按照随机数字生成表将其随机分为观察组及对照组各50例，其中观察组使用呋喃西林炉甘石洗剂90ML+制霉菌素50万utimes;2混合液进行护理，对照组使用溃疡粉对肛周皮肤进行护理，比较两种处理方法的效果。结果 比较两张患者护理前的肛周皮炎情况发现两组患者的肛周皮炎分级情况差异没有统计学意义，具有可比性。而经过不同的护理方法后，观察组患者在治愈情况以及治愈时间上均优于对照组，差异具有统计学意义。结论 呋喃西林炉甘石洗剂90ML+制霉菌素50万utimes;2混合液对于治疗危重患者腹泻引起的肛周皮炎治愈效果良好，值得推广。 【关键词】危重患者；腹泻；肛周皮炎 [Abstract]Objective：To analyse differences on effects of different handling methods in treating annal dermatitis caused by severe diarrhea.Methods：100 cases of critical patients with diarrhea in our ICU between February 2014 to February 2015 were selected as objects.According to the random number table，they were divided into observation group and control group with 50 cases for each group. Cases of observation group were given nitrofural calamine lotion 90 ml + nystatin 500000 u x 2 mixture for nursing，and those of control group were given the ulcer powder on anus periderm skin care. This study compared the effects of two kinds of processing methods.Results：With the result of comparison of perianal dermatitis in patients of two groups before treatment，it was found that there was no statistical significant in grade of perianal dermatitis in patients of two groups. And after being given different methods of nursing，patients of the observation group had better healing and shorter cure time than those of control group had，and the differences were statistically significant.Conclusion：It is effective of nitrofurazone calamine lotion 90 ml + nystatin 500000 u x 2 mixture to treat perianal dermatitis caused by diarrhea in critically ill patients. [key words] critically ill patients；diarrhea；perianal dermatitis ??周皮炎是指由排泄物的刺激及反复清洗、擦拭等物理刺激而引起的肛周皮肤瘙痒、糜烂等刺激性皮炎症状[1]。危重患者由于机械通气、肠道感染、广谱抗生素及肠内营养液的使用等多种原因导致腹泻发生率较高，有研究显示，危重患者腹泻致肛周皮炎发生率可高达11.26%[2][3]而粪便的化学刺激和护理人员给病人清洁臀部时反复擦洗的物理刺激极易致肛周皮肤潮红、不同程度的肛周糜烂[4]。同时由于危重病人自身抵抗力差，营养不良等原因导致伤口