摘要
目的了解直肠癌永久性乙状结肠造口患者常见并发症的发生情况及其影响因素。方法采用自行设计的问卷,对直肠癌行永久性乙状结肠造口术后3个月以上73例患者并进行问卷调查。结果直肠癌永久性乙状结肠造口患者并发症有造口旁疝25例(34.3%)、粪水性皮炎7例(9.6%)、造口脱垂6例(8.2%)、造口狭窄3例(4.1%)、造口回缩2例(2.7%)。年龄越大(r=0.47,P<0.01),手术后时间越长(r=0.28,P<0.05),术前未进行造口定位(r=0.29,P<0.05),有造口脱垂(r=0.27,P<0.05),便秘(r=0.25,P<0.05)的患者容易出现造口旁疝。结论造口并发症往往都是患者出院后自我护理的过程中发生的。要减少或避免各种并发症的发生,造口治疗师(enterostomal the rapists,ET)对患者的术后定期随访尤为重要。
Objective To identify the incidence and influential factors of common complications of permanent colostomy in patients with rectal cancer. Methods The questionnaires used in this study were designed by the researchers. Seventy - three patients underwent permanent ostomy operations for more than over three months participated in this study. Results The common complications were parastomal hernia （34.3 % ）, effluent dermatitis （9.6%）, stomal prolapse （8. 2% ）, stomal stenosis（4.1% ）, and stomal retraction （2.7%）. The influential factors of parastomal hernia were age （t = 0. 44, P 〈 0.01 ）, optimum site choice （ t = 0. 37, P 〈 0.01 ） and odor leakage （ t = 0. 29, P 〈 0. 05 ）. Conclusion Colostomy complications occurred after patients discharged from the hospital when they took care of their ostomy themselves. Nurses should provide routine follow - up after patients discharge from the hospital to decrease colostomy complications.
出处
《广东医学》
CAS
CSCD
北大核心
2009年第8期1033-1035,共3页
Guangdong Medical Journal
