目的 探討直腸癌低位、超低位前切除并行橫結腸預防性造口術后其并發癥的護理對策。 方法 對2011年12月－2012年5月收治的43例低位直腸癌行預防性橫結腸造口患者的臨床資料進行回顧性分析，并就其發生并發癥的原因及護理方法予以總結。 結果 43例患者均在直腸癌前切除術后行預防性橫結腸袢式造口術。術后拔管時間2～5 d，造口排氣時間19～73 h，均未出現吻合口瘺，但發生造口脫垂1例，造口回縮1例，造口周圍皮膚疾病2例，經積極治療護理后均痊愈出院。 結論 術后精心護理對降低橫結腸造口術后并發癥，提高患者生活質量，改善預后十分重要。
ObjectiveTo explore the leakage management and skin care by improved homemade portable vacuum sealing drainage device used for enterocutaneous fistula, in order to solve such confusing problems as leakage collection and nursing for patients with inconvenient activity. MethodsThe homemade portable vacuum sealing drainage device was made by using hydrophilic fiber of silver ion antimicrobial dressings, leak-proof strings, skin protective film, transparent patches, sputum suction tube, bottle of portable infusion, and negative pressure drainage bottle. Between January 2011 and September 2013, patients with enterocutaneous fistula admitted into our hospital were divided into traditional treatment group and portable vacuum sealing treatment group according to the admission time, and traditional center negative pressure suction treatment and portable negative pressure drainage method were used respectively for the two groups of patients. We verified the effect of the mobile vacuum sealing drainage device through comparing these two groups in terms of wound healing time, redness, burst and impregnation of the skin. ResultsThe wound healing time was significantly shorter for patients in the portable vacuum sealing drainage treatment group (P<0.05), and patients in this group also had a lower occurrence of skin redness, impregnation and burst. ConclusionHomemade portable negative pressure drainage device for enterocutaneous fistula patients can reduce the incidence of skin complications such as redness, impregnation and burst, promote patients' activity, and reduce the patients' pain.