连芩清热擦剂联合常规护理预防ICU 患者并发失禁性皮炎临床研究
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R473.75

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Clinical Study on Combination of Lianqin Qingre Liniment and Conventional Nursing for Preventing Incontinence Associated Dermatitis in ICU Patients
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    摘要:

    目的:观察连芩清热擦剂联合凡士林涂抹预防重症监护室(ICU) 患者失禁性皮炎的临床疗效。 方法:回顾性分析2023年8月—2024年8月丽水市人民医院收治的89例ICU患者的临床资料,根据患者接受的 不同预防护理方式分为联合组(46例) 和对照组(43例)。对照组给予常规护理及凡士林涂抹,联合组在对照 组基础上给予连芩清热擦剂涂抹。比较2组失禁性皮炎发生风险[会阴风险评估工具(PAT)]、平均每天大 便失禁次数、布里斯托大便分类法(BT) 分级情况、失禁性皮炎发生率、发生时间、严重程度[IAD严重程 度评估量表(IADS)]、皮损分级及家属满意度。结果:治疗后,2组PAT各维度评分均较治疗前降低(P< 0.05),且联合组PAT各维度评分均低于对照组(P<0.05)。治疗后,联合组平均每天大便失禁次数为(2.31± 0.89) 次,少于对照组的(3.64±1.14) 次,2组比较,差异有统计学意义(P<0.05)。治疗后,联合组BT分类 情况优于对照组,差异有统计学意义(P<0.05)。治疗后,联合组失禁性皮炎发生率为26.09%(12/46),对照 组为46.51% (20/43),2组比较,差异有统计学意义(P<0.05);联合组皮炎发生时间平均(5.14±1.31) 天, 对照组平均(3.02±0.89) 天,2组比较,差异有统计学意义(P<0.05)。治疗后,2组IADS评分均较治疗前升 高(P<0.05),但联合组IADS评分低于对照组(P<0.05)。治疗后,联合组皮损分级优于对照组,差异有统 计学意义(P<0.05)。治疗后,联合组家属满意度为95.65% (44/46),对照组为81.40% (35/43),2组比较, 差异有统计学意义(P<0.05)。结论:连芩清热擦剂联合凡士林涂抹能有效降低ICU患者失禁性皮炎的发生 率,保护会阴及肛周皮肤,缓解皮肤损伤,提高患者家属满意度。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the combination of Lianqin Qingre Liniment and Petrolatum on preventing incontinence associated dermatitis in patients in Intensive Care Unit(ICU). Methods:The clinical data of 89 ICU patients admitted to Lishui People's Hospital from August 2023 to August 2024 were retrospectively analyzed. According to the different preventive nursing methods,the above patients were divided into the combination group(46 cases)and the control group(43 cases). The control group was given conventional nursing and smeared with Petrolatum, and the combination group was additionally given Lianqin Qingre Liniment based on the treatment in the control group. The risk of incontinence associated dermatitis [Perineal Assessment Tool(PAT)], the average number of fecal incontinence per day,the classification of Bristol Stool Scale (BT),incidence,occurrence time, severity [IAD Severity Instrument (IADS)] of incontinence associated dermatitis, skin lesion grading and satisfaction rate of the relatives were compared between the two groups. Results:After treatment,the scores of each dimension by PAT in the two groups were lower than those before treatment(P<0.05), and the above scores in the combination group were lower than those in the control group(P<0.05). After treatment,the average number of fecal incontinence per day in the combination group was (2.31±0.89) times,which was less than that of (3.64 ± 1.14) times in the control group, and the difference between the two groups was statistically significant (P<0.05) . After treatment,the BT classification of the combination group was superior to that of the control group,and the difference was statistically significant(P<0.05). After treatment,the incidence of incontinence associated dermatitis was 26.09% (12/46)in the combination group and 46.51%(20/43)in the control group,with a statistically significant difference (P<0.05). The average occurrence time of dermatitis was(5.14±1.31)days in the combination group,and was(3.02± 0.89)days in the control group,with a statistically significant difference(P<0.05). After treatment,the IADS scores of the two groups were higher than those before treatment(P<0.05),while the IADS score of the combination group was lower than that of the control group(P<0.05). After treatment,the skin lesion grading of the combination group was superior to that of the control group, with a statistically significant difference(P<0.05). After treatment, the satisfaction rate of the relatives was 95.65%(44/46)in the combination group, and 81.40%(35/43)in the control group,with a statistically significant difference(P<0.05). Conclusion:The combination of Lianqin Qingre Liniment and Petrolatum can effectively reduce the incidence of incontinence associated dermatitis in ICU patients,protect the perineal and perianal skin,relieve the skin lesion,and improve the satisfaction rate of patients' relatives.

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李萍,李维维,李丽萍.连芩清热擦剂联合常规护理预防ICU 患者并发失禁性皮炎临床研究[J].新中医,2025,57(21):106-110

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  • 在线发布日期: 2025-11-11
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