CAJ | 학술논문

目的探讨造口产品联合应用在经皮经肝胆汁引流（PTCD）管周围渗漏患者中的临床应用效果。方法选取56例PTCD管周围渗漏的恶性梗阻性黄疸患者，随机分为两组，各28例。试验组联合应用造口护肤粉、皮肤保护膜、造口袋进行护理；对照组应用聚维酮碘、无菌纱布及百多邦软膏进行护理。观察比较两组患者的PTCD管周刺激性皮炎发生、PTCD留置舒适度（衣物污染、疼痛及睡眠情况）以及PTCD管周护理工作量。结果试验组发生管周刺激性皮炎及管周护理量低于对照组，试验组PTCD留置舒适度高于对照组，差异有统计学意义（P<0.05）。结论造口护肤粉、皮肤保护膜及造口袋联合应用于PTCD管周围渗漏患者具有较高临床价值，值得推广应用。
목적탐토조구산품연합응용재경피경간담즙인류（PTCD）관주위삼루환자중적림상응용효과。방법선취56례PTCD관주위삼루적악성경조성황달환자，수궤분위량조，각28례。시험조연합응용조구호부분、피부보호막、조구대진행호리；대조조응용취유동전、무균사포급백다방연고진행호리。관찰비교량조환자적PTCD관주자격성피염발생、PTCD류치서괄도（의물오염、동통급수면정황）이급PTCD관주호리공작량。결과시험조발생관주자격성피염급관주호리량저우대조조，시험조PTCD류치서괄도고우대조조，차이유통계학의의（P<0.05）。결론조구호부분、피부보호막급조구대연합응용우PTCD관주위삼루환자구유교고림상개치，치득추엄응용。
Objective To investigate the application of colostomy care products in managing the leakage around PTCD drainage tube, and to discuss its clinical effect. Methods A total of 56 patients with malignant obstructive jaundice, who had received PTCD and suffered from postoperative leakage around PTCD drainage tube, were randomly and equally divided into the study group (n=28) and the control group (n=28). The colostomy care powder, the skin protective film and the colostomy bag were used for the patients of the study group, while iodophors, sterile gauze and mupirocin ointment were employed for the patients of the control group. The incidence of irritant dermatitis around PTCD drainage tube, the degree of comfort to the indwelling tube judged by the patient, and the nursing workload for PTCD drainage tube were determined, and the results were compared between the two groups. Results The incidence of irritant dermatitis around PTCD drainage tube in the study group was obviously lower than that in the control group. And the degree of comfort to the indwelling tube judged by the patient in the study group was much higher than that in the control group. The differences between the two groups were statistically significant (P<0.05). Conclusion Combination use of colostomy care powder, skin protective film and colostomy bag can effectively reduce the incidence of irritant dermatitis around PTCD drainage tube and improve the patient’s condition. Therefore, this method is worthy of popularization in clinical practice.