CAJ | 학술논문

目的：观察马应龙麝香痔疮膏治疗大便失禁患者肛周皮肤破损的效果及总结护理要点。方法将2012年3月～2013年2月本院收治的31例大便失禁肛周皮肤破损患者设为对照组，将2013年3月～2014年1月本院收治的32例大便失禁肛周皮肤破损患者设为观察组。观察组患者采用马应龙麝香痔疮膏涂擦肛周皮肤破损处，每天3～4次；对照组患者采用氧化锌涂擦肛周皮肤破损处，每天3～4次，同时两组患者均联合应用造口袋。比较两组患者两周后治疗总有效率。结果观察组患者治疗总有效率为93．8％，对照组患者治疗总有效率为71．0％，两组比较，P＜0．05，差异具有统计学意义。结论马应龙麝香痔疮膏治疗大便失禁所致肛周皮肤破损效果明显优于氧化锌软膏，该药使用方便，价格低廉，值得临床推广应用。
목적：관찰마응룡사향치창고치료대편실금환자항주피부파손적효과급총결호리요점。방법장2012년3월～2013년2월본원수치적31례대편실금항주피부파손환자설위대조조，장2013년3월～2014년1월본원수치적32례대편실금항주피부파손환자설위관찰조。관찰조환자채용마응룡사향치창고도찰항주피부파손처，매천3～4차；대조조환자채용양화자도찰항주피부파손처，매천3～4차，동시량조환자균연합응용조구대。비교량조환자량주후치료총유효솔。결과관찰조환자치료총유효솔위93．8％，대조조환자치료총유효솔위71．0％，량조비교，P＜0．05，차이구유통계학의의。결론마응룡사향치창고치료대편실금소치항주피부파손효과명현우우양화자연고，해약사용방편，개격저렴，치득림상추엄응용。
Objective To study the effect and nursing of Mayinglong musk hemorrhoids ointment on anus periderm skin damage of fecal incontinence patients. Methods Thirty-one patients with fecal incontinence-induced anus periderm skin damage from March 2012 to February 2013 in the hospital were set as the control group and another 32 patients with the same disease from March 2013 to January 2014 as the observation group. The anus periderm skin damage of the observation group was treated with Mayinglong musk hemorrhoids ointment 3 to 4 times a day. The anus periderm skin damage of the control group were treated with zinc oxide ointment, 3 to 4 times a day. Both groups used ostomy. The two groups were compared in terms of total effective rate in a month. Result The total effective rate of the observation group was 93.8% and the control group was 71.0%, with significant difference between the groups (P<0.05). Conclusions Mayinglong musk hemorrhoids ointment can be more effective in the treatment of fecal incontinence caused by anus periderm skin damage than zinc oxide ointment. It can improve the effect of treatment and reduce local wound pain. It is convenient to use, cheap and thus worthy of clinical popularization and application.