摘要
总结16例一穴肛行畸形根治手术的护理经验。护理要点包括:术前给予细致的心理护理,提高治疗依从性;加强肠造口的管理以保证根治手术的正常进行;完善肠道准备保证肠道清洁度,以减少手术野污染;术后保持合适的体位,并保持会阴部伤口清洁干燥;做好管道护理,指导盆底功能锻炼、肛门扩张和阴道扩张以减少重建通道狭窄,最大限度地实现重建通道的生理功能。16例均恢复良好,住院期间无并发症发生,顺利出院。本组随访2~78个月,排便功能评分(8.87±1.15)分,尿控评分9例Ⅰ级,5例Ⅱ级,均获得了较为满意的排便、排尿功能。
This article summarized nursing experience of 16 persist cloaca patients treated by radical surgery. Before surgery,considerate psychological consolation was helpful for patients in compliance with treatment. In addition,appropriate bowel preparation and careful management after the first colostomy significantly secured the successful surgery. Postoperatively,patients were instructed for an appropriate body position for relieving pain and other discomforts. Furthermore,effective nursing for wounds,drainage tube and venous access were vital for quick recovery. Finally,it was important to receive functional exercise of pelvic floor and regular dilation of anus and vagina for preventing restenosis of surgically rebuilt channels. All patients survived without severe complications. Mean fol- low-up was 2-78 months. Mean Krickenbeck defecation function score was (8.87 ± 1.15) and 9 cases were evalu- ated as I class and five as II class for urination score. The perioperative nursing for persist cloaca patients can achieve satisfied physical functions.
作者
唐文娟
邵珍珍
范琴
沈恺
陆群峰
TANG Wenjuan;SHAO Zhenzhen;FAN Qin;SHEN Kai;LU Qunfeng
出处
《中华护理杂志》
CSCD
北大核心
2018年第10期1205-1209,共5页
Chinese Journal of Nursing
基金
上海交通大学医学院护理科研项目(JYH1715)
上海交通大学高原学科建设青年后备人才项目(hlgy16063qnhb)
上海医药基金会青年护理人才培养项目(沪医卫基[2018]01号)
关键词
一穴肛
泄殖腔畸形
先天畸形
围手术期护理
Persist Cloaca
Cloacal Malformation
Congenital Abnormalities
Perioperative Nursing