首页|五味消毒饮疗法对膀胱癌泌尿造口患者造口并发症的影响

五味消毒饮疗法对膀胱癌泌尿造口患者造口并发症的影响

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目的 探讨五味消毒饮对膀胱癌泌尿造口患者造口周围感染、造口并发症及造口愈合的影响.方法 选取2023年1-7月于南昌大学第一附属医院拟行泌尿造口术的74例膀胱癌患者为研究对象,将收治于一病区的患者归为对照组,收治于二病区患者归为观察组,每组各37例.对照组采用生理盐水冲洗造口,观察组采用五味消毒饮(组方:金银花30 g,野菊花、蒲公英、紫花地丁各15 g,紫背天葵子10 g)外用冲洗加内服,2组均干预3个月.采用TIME-H评估量表评价造口周围皮肤愈合情况,并比较2组造口感染率、并发症发生率.结果 干预1个月时,2组造口感染率、并发症发生率及造口周围皮肤愈合等比较差异无统计学意义(P>0.05);干预3个月时,观察组造口感染率、并发症发生率均低于对照组,造口周围皮肤愈合情况好于对照组(P<0.05).结论 与生理盐水冲洗泌尿造口相比,五味消毒饮冲洗疗法能够减少泌尿造口并发症,降低泌尿造口周围皮肤感染率,促进造口周围皮肤愈合.
The Effect of Five-flavored Antiseptic Drink on Stoma-related Complications in Patients with Urinary Stoma for Bladder Cancer
Objective To investigate the effects of the Five-flavored Antiseptic Drink on peris-tomal infection,stoma-related complications and healing in patients with bladder cancer.Methods 74 patients with bladder cancer who were to undergo urostomy in the First Affiliated Hospital of Nanchang University from January to July 2023 were selected for the study;patients admitted to Ward 1 were categorized as the control group,and patients in Ward 2 were categorized as the ob-servation group,37 cases in each group.In the control group,saline was used to flush the stoma;in the observation group,the Five-flavored Antiseptic Drink(formula:30 g of honeysuckle,15 g each of wild chrysanthemum,dandelion,purple flower Dididium,10 g of purple sunflower seed)was used for external rinsing plus internal intake,with 3-month interventions in both groups.The TIME-H scale was used to evaluate the peristomal skin healing,and the incidence of stoma infec-tion and complications were compared between the 2 groups.Results At 1 month of intervention,there was no statistically significant difference in stoma infection rate,complication rate and peris-tomal skin healing between the 2 groups(P>0.05);at 3 month of intervention,stoma infection rate and complication rate of the observation group were lower than those of the control group,and peristomal skin healing was better than that of the control group(P<0.05).Conclusion Compared with normal saline irrigation of urinary stoma,the rinsing therapy with the Five-flavor-ed Antiseptic Drink might reduce stoma-related complications,decrease the rate of peristomal skin infection,and promote peristomal skin healing.

bladder cancerurinary stomaFive-flavored Antiseptic Drinkcomplicationskin infectionperistomal skin healing

程志强、张宝珍、汤利萍

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南昌大学第一附属医院护理部,南昌 330006

膀胱癌 泌尿造口 五味消毒饮 并发症 皮肤感染 造口周围皮肤愈合

江西省中医药科技计划

2019B026

2024

实用临床医学
南昌大学

实用临床医学

影响因子:0.818
ISSN:1009-8194
年,卷(期):2024.25(1)
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