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结直肠癌造口患者造口周围皮炎发生的相关因素分析 被引量:3

Related factors of peristomal dermatitis in patients with colorectal cancer receiving colostomy
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摘要 目的 调查结直肠癌行肠造口手术患者造口周围皮炎的发生情况,探讨相关因素对其发生率的影响。 方法 收集解放军总医院2013年1月—2015年12月因结直肠癌行肠造口手术的397例患者临床资料,对其造口周围皮炎的发生情况进行调查分析。 结果 397例患者中146例曾经1次或多次发生过造口周围皮炎,发生率为36.78%。Logistic回归分析表明,体重变化≥5 kg、有辅助化疗、有辅助放疗、合并并发症、有糖尿病、造口类型为回肠造口、手术方式为襻式造口是造口周围皮炎的独立危险因素,定期有造口师指导、术前行造口定位是造口周围皮炎的保护性因素。 结论 在结直肠癌造口患者的临床护理以及延续护理工作中,应针对患者造口周围皮炎发生的独立影响因素予以控制或采取相应措施,以减少造口周围皮炎的发生。 Objective To explore the incidence of peristomal dermatitis in patients with colorectal cancer (CRC) receiving colostomy and to discuss the effects of related factors on its incidence.Methods The clinical data of totally 397 CRC patients who received colostomy from January 2013 to December 2015 in Chinese PLA General Hospital were collected, and the incidence of peristomal dermatitis in these patients were analyzed.Results Totally 146 of the 397 patients sustained peristomal dermatitis once or several times, with an incidence rate of 36.78%. Logistic regression analysis showed that body weight changes≥5 kg, adjuvant chemotherapy, adjuvant radiotherapy, comorbidities, diabetes, ileostomy and loop-type colostomy were independent risk factors of peristomal dermatitis, while regular guidance from colostomy surgeons and perioperative colostomy positioning were protective factors of peristomal dermatitis.Conclusions We should control the independent influencing factors of peristomal dermatitis or take corresponding measures to reduce the incidence of peristomal dermatitis when providing clinical care and continuing care for CRC patients receiving colostomy.
作者 刘娜 皮红英 周静 李娜 郭丹丹 李迎坤 Liu Na;Pi Hongying;Zhou Jing;Li Na;Guo Dandan;Li Yingkun(Department of General Surgery,Chinese PLA General Hospital,Beijing 100853,China;Department of Nursing,Chinese PLA General Hospital,Beijing 100853,China)
出处 《中华现代护理杂志》 2018年第35期4252-4256,共5页 Modern Nursing
基金 解放军总医院临床扶持基金(2015FC-TSYS-2009).
关键词 肠造口术 结直肠肿瘤 造口周围皮炎 相关因素 Colostomy Colorectal neoplasms Peristomal dermatitis Related factors
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