CAJ | 학술논문

目的：观察并比较外涂护臀霜和地榆油对肠内营养相关性腹泻ICU患者肛周皮肤损伤的预防效果。方法：选择本院2012年6月-2013年6月收治的80例表现出肠内营养相关腹泻的ICU患者，根据处理方式的不同分为护臀霜组和地榆油组，每组40例患者。按照操作规范对两组患者进行处理。观察并比较两组患者肛周皮损发生率、发生时间及严重程度，以评价护理效果。结果：外涂护臀霜组肛周皮肤损伤发生率为40.0%（16/40），地榆油组为12.5%（5/40），差异具有统计学意义（P<0.05）；外涂护臀霜组肛周皮肤出现损伤的时间为（2.46±1.95）d，地榆油组为（2.13±1.21）d，差异无统计学意义。外涂护臀霜组皮损严重程度评分为（3.29±0.52）分，地榆油组为（1.39±0.15）分，差异有统计学意义（P<0.05）。结论：对于出现肠内营养相关性腹泻的ICU患者，外涂地榆油可以降低患者肛周皮肤损伤率，减轻皮肤损伤程度，有效预防肛周皮肤损伤。
목적：관찰병비교외도호둔상화지유유대장내영양상관성복사ICU환자항주피부손상적예방효과。방법：선택본원2012년6월-2013년6월수치적80례표현출장내영양상관복사적ICU환자，근거처리방식적불동분위호둔상조화지유유조，매조40례환자。안조조작규범대량조환자진행처리。관찰병비교량조환자항주피손발생솔、발생시간급엄중정도，이평개호리효과。결과：외도호둔상조항주피부손상발생솔위40.0%（16/40），지유유조위12.5%（5/40），차이구유통계학의의（P<0.05）；외도호둔상조항주피부출현손상적시간위（2.46±1.95）d，지유유조위（2.13±1.21）d，차이무통계학의의。외도호둔상조피손엄중정도평분위（3.29±0.52）분，지유유조위（1.39±0.15）분，차이유통계학의의（P<0.05）。결론：대우출현장내영양상관성복사적ICU환자，외도지유유가이강저환자항주피부손상솔，감경피부손상정도，유효예방항주피부손상。
Objective:To study the effect of two methods of diaper creams and sanguisorba oil to prevent crissum skin damage from enternal nutrition cid-associated diarrhea in ICU.Method:From June 2012 to June 2013,there were 80 ICU patients with enternal nutrition cid-associated diarrhea chosen in our study. They were randomly divided into two groups. One group was treated with diaper creams,and the other group was treated with sanguisorba oil.Each group enrolled 40 patients separately.The two groups of patiens were treated according to operational standard. Observed and compared the incidence,occurrence time and severity of crissum skin damage.Result:The incidence of crissum skin damage of patients treated with diaper creams was 40.0%(16/40), and patients treated with sanguisorba oil was 12.5%(5/40).The difference was significant(P<0.05).The occurrence time of crissum skin damage of patients treated with diaper creams was (2.46±1.95)d and patients treated with sanguisorba oil was (2.13±1.21)d.The occurrence time of crissum skin damage in two groups was no significant difference.The degree of crissum skin damage of patients treated with diaper creams was (3.29±0.52)points and patients treated with sanguisorba oil was (1.39±0.15)points.The degree of crissum skin damage of patients treated with diaper creams was significantly higher than patients with sanguisorba oil (P<0.05).Conclusion:The treatment of sanguisorba oil can reduce the incidence and severity of skin damage,which is effective method to prevent crissum skin damage caused by enternal nutrition cid-associated diarrhea.