陈燕芳??陆艳兴??郭飞坤??蔡浩武

[摘要] 目的 探讨造口袋联合3M透明敷料加固在骶尾部压疮患者中的应用。方法 2013年7月～2016年9月Ⅲ～Ⅳ級骶尾部压疮伴有大便失禁或腹泻患者22例为研究组，同期的22例患者为对照组，研究组在肛周外涂造口护肤粉后粘贴经裁剪合适的造口袋，并在造口袋的底盘外缘环形粘贴3M透明敷料加固。对照组给予常规的肛周清洁护理。结果 研究组中有1例出现2次渗漏污染压疮创面，对照组中12例总出现23次渗漏污染压疮创面（P<0.05）。研究组的护理满意度（95.45%），明显高于对照组（81.82%），差异具有统计学意义（P<0.05）。结论 经采用造口袋联合3M透明敷料加固方法收集大便，能有效地保护压疮创面及肛周皮肤；减轻患者痛苦、减轻患者的经济负担、减轻护理人员的工作量，提高患者及家属的满意度。

[关键词] 造口护肤粉；造口袋；3M透明敷料；压疮

[中图分类号] R473.75 [文献标识码] A [文章编号] 2095-0616（2017）11-86-03

Clinical nursing observation of stoma bag combined with 3M transparent dressing reinforcement in application of patients with pressure sore in sacrococcygeal region

CHEN Yanfang LU Yanxing GUO Feikun CAI Haowu

Yingde People's Hospital， Yingde 513000， China

[Abstract] Objective To explore application of stoma bag combined with 3M transparent dressing reinforcement in patients with pressure sore in sacrococcygeal region. Methods 22 patients with pressure sore in Ⅲ-Ⅳ sacrococcygeal region accompanied by fecal incontinence and diarrhea from July 2013 to September 2016 were selected as the research group while 22 patients during the same period were selected as the control group. The research group was given stoma bag with proper size after external coating of crissum skin care powder and 3M transparent dressing reinforcement was roundly pasted in outer edge of chassis of stoma bag. The control group was given routine cleaning nursing in crissum. Results In the research group， there was 1 case with leakage polluting pressure sore wound for 2 times. In the control group， 12 cases were with leakage polluting pressure sore wound for a total of 23 times（P<0.05）. Nursing satisfaction of the research group was 95.45%， significantly higher than that of the control group 81.82%， P<0.05. Conclusion Stoma bag combined with 3M transparent dressing reinforcement to collect feces can effectively protect pressure sore wound and perianal skin. It can reduce pains and economic burden of patients， reduce workload of nursing staff and improve satisfaction of patients and their family members.

[Key words] Crissum skin care powder； Stoma bag； 3M transparent dressing； Pressure sore

骨质凸出的位置如足跟部、坐骨结节和骶尾部等极易出现压疮[1]。其中，骶尾部压疮是压疮中最高发的，最难治愈的，且常受大小便的污染而增加了治疗的难度[2-3]。为此，本研究采用造口护肤粉、造口袋联合3M透明敷料加固的方法来收集大便，有效地保护了压疮创面及肛周皮肤，临床效果满意，现报道如下。

1 资料与方法

1.1 一般资料

择取2013年7月～2016年9月我科收治Ⅲ～Ⅳ级骶尾部压疮伴有大便失禁或腹泻患者22例，男10例，女12例，年龄40～86岁，平均（56.0±1.0）岁。其中，中风后遗症17例，骨折2例，植物生存状态1例，截瘫2例。另选取同期的22例患者为对照组，男11例，女11例，年龄40～85岁，平均（55.0±1.5）岁。其中，中风后遗症16例，骨折3例，植物生存状态1例，截瘫2例。两组基本资料比较差异无统计学意义（P>0.05），具有可比性。

纳入标准：骶尾部存在压疮；无严重并发症；均了解研究内容；无精神疾病。获得医院伦理委员会同意。

1.2 方……