CAJ | 학술논문

目的：分析不同支撑方式的直肠癌根治术袢式回肠造口患者发生粪水性皮炎、底板溶胶或渗漏、疼痛情况和自我护理率。方法：128例直肠癌低位前切除加袢式回肠造口患者分别采取皮外I型、皮外II型和皮下型支撑管，分析评价其效果。结果：皮外II型支撑袢式造口皮炎面积（P=0.003）、皮炎损伤程度(P=0.015)较皮外I型及皮下型轻，造口袋底胶溶解或发生渗漏方面明显降低（P=0.005）；皮内型患者的自我护理率明显低于皮外I型和皮外II型（P=0.027）。结论：16号橡胶导尿管袢式回肠造口皮上支撑法可减少、减轻粪水性皮炎、提高自我护理能力。
목적：분석불동지탱방식적직장암근치술번식회장조구환자발생분수성피염、저판용효혹삼루、동통정황화자아호리솔。방법：128례직장암저위전절제가번식회장조구환자분별채취피외I형、피외II형화피하형지탱관，분석평개기효과。결과：피외II형지탱번식조구피염면적（P=0.003）、피염손상정도(P=0.015)교피외I형급피하형경，조구대저효용해혹발생삼루방면명현강저（P=0.005）；피내형환자적자아호리솔명현저우피외I형화피외II형（P=0.027）。결론：16호상효도뇨관번식회장조구피상지탱법가감소、감경분수성피염、제고자아호리능력。
Objective To explore the incidences of manure dermatitis, pain, ostomy bottom glue dissolve, leakage and self-care rates in patients after loop ileostomy with rectal cancer. Methods One hundred and twenty eight patients underwent low rectal resection and loop ileostomy, Outside I, Outside II and Subcutaneous as three different methods were employed to support loop ileostomy, the effects group of different methods of support for loop ileostomy were evaluated. Results the dermatitis area in the method of Outside II group was significantly smaller (P=0.003) and the degree lower (P=0.015) than those in the other two methods. While the astomy bottom glue dissolved area or leakage rates had little differences (P=0.005). However, there was a lower self-care rate in Subcutaneous group. Conclusion Method of Outside II with 16# catheter can reduce or alle?viate the patient manure dermatitis, Ostomy bottom glue dissolved area or leakage rate and improve self-care ca?pabilities.