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目的:为了便于直肠癌根治术后造口观察和护理,增加患者的舒适度,节省操作时间。方法:将102例直肠癌Miles术后患者随机分为观察组和对照组,每组各51例。观察组术后用自制腹带固定腹部,并穿特制短裤,对照组给予传统腹带固定腹部和穿普通患者长裤。对造口观察、更换造口袋及会阴护理等方面所需操作时间、操作难易程度以及患者舒适度进行比较。结果:观察组在造口观察、更换造口袋、会阴护理等方面所需时间明显短于对照组;在舒适度,减轻切口疼痛等方面对照组患者反应也优于对照组。结论:自制腹带的设计便于造口袋更换与观察,开口短裤的设计利于引流观察,便于会阴护理,缩短护理操作时间。
Objective: In order to facilitate stoma observation and nursing after radical resection of rectal cancer, increase patient comfort and save operation time. Methods: A total of 102 patients with Miles after rectal cancer were randomly divided into observation group and control group, 51 cases in each group. The observation group was fixed with a homemade abdominal abdomen and wear special shorts, the control group given the traditional abdominal fixed abdominal and wearing ordinary patients trousers. The operation time, ease of operation and patient comfort were compared for stoma observation, replacement stoma pocket and perineal care. Results: The time required for observation group, stoma prosthesis replacement, perineal care and so on was significantly shorter in the observation group than in the control group. The patients in the control group also had better response and better response to comfort and reduction of incision pain. Conclusion: The design of self-made belts facilitates the replacement and observation of the pocketed pockets. The design of the cut-away pant facilitates drainage and observation, facilitates perineal nursing and shortens the nursing operation time.