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目的探讨双腔气囊尿管与造口袋行负压吸引在ICU大便失禁患者中的应用效果。方法将2016年6月~2016年12月ICU大便失禁患者65例随机分为实验组35例和对照组30例,实验组采用18号双腔气囊尿管接负压吸引装置持续低负压吸引法,与对照组采用肛门贴造口袋后接负压吸引装置持续低负压吸引法进行对照研究。结果实验组在引流效果和肛周皮肤护理上优于对照组,P<0.05,差异具有统计学意义。结论对大便失禁患者应用18号双腔气囊尿管低负压吸引法能有效减少肛周皮肤破损的发生,节约护理时间,降低护士劳动强度,防止交叉感染,提高床位周转率,值得临床推广应用。
Objective To investigate the application effect of double-chamber balloon catheter and stoma bag under negative pressure in ICU patients with incontinence. Methods Sixty-five patients with ICU incontinence between June 2016 and December 2016 were randomly divided into experimental group (35 cases) and control group (30 cases). Experimental group was treated with negative pressure suction device Method, and control group using the anal patch pocket followed by negative pressure suction device for continuous low suction method for control study. Results The experimental group was superior to the control group in drainage effect and perianal skin care, P <0.05, the difference was statistically significant. Conclusion The application of 18-chamber double-chamber balloon catheter with low negative pressure suction method can effectively reduce the incidence of perianal skin lesions, save nursing time, reduce nurses’ labor intensity, prevent cross-infection and improve the turnover rate of beds, which is worthy of clinical application .