Nursing Care of Complications Following Protective Loop Transverse Colostomy for Patients with Low Rectal Cancer_West China Medical Journal

Authors：

GUO Yulan , LIANG Tao , QIN Qingmei , YIN Yiqiong.

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

Keywords：

结肠袢式造口术; 造口治疗; 术后并发症; 护理

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目的　探讨直肠癌低位、超低位前切除并行横结肠预防性造口术后其并发症的护理对策。方法　对2011年12月－2012年5月收治的43例低位直肠癌行预防性横结肠造口患者的临床资料进行回顾性分析，并就其发生并发症的原因及护理方法予以总结。结果　43例患者均在直肠癌前切除术后行预防性横结肠袢式造口术。术后拔管时间2～5 d，造口排气时间19～73 h，均未出现吻合口瘘，但发生造口脱垂1例，造口回缩1例，造口周围皮肤疾病2例，经积极治疗护理后均痊愈出院。结论　术后精心护理对降低横结肠造口术后并发症，提高患者生活质量，改善预后十分重要。

Citation： GUO Yulan,LIANG Tao,QIN Qingmei,YIN Yiqiong.. Nursing Care of Complications Following Protective Loop Transverse Colostomy for Patients with Low Rectal Cancer. West China Medical Journal, 2013, 28(4): 579-581. doi: Copy

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1. 　Vlot EA, Zeebregts CJ, Gerritsen JJ, et al. Anterior resection of rectal cancer without bowel preparation and diverting stoma[J]. Surg Today, 2005, 35(8): 629-633.
2. 　Colwell JC, Beitz J. Survey of wound, ostomy and continence (WOC) nurse clinicians on stomal and peristomal complications: a content validation study[J]. J Wound Ostomy Continence Nurs, 2007, 34(1): 57-69.
3. 　Colwell JC. Stomal and peristomal complications[M]//Colwell JC, Goldberg MT, Carmel JE. Fecal & Urinary Diversions: Management Principles. St Louis, MO: CV Mosby, 2004: 224-314.
4. 　Barr JE. Assessment and management of stomal complications: a framework for clinical decision making [J]. Ostomy Wound Manage, 2004, 50(9): 50-67.
5. 　Wound, Ostomy, and Continence Nurses Society. Stoma complications: a best practice document for clinicians[EB/OL]. (2011-11-29)[2012-07-06]. http://emedicine.medscape.com/article/939455-treatment#a17.
6. 　顾永芳. 结肠造口并发症原因分析与护理要点[J]. 中国实用医药, 2009, 4(33): 190-192.
7. 　戴晓冬, 李华珠, 杨宁琍. 51例Miles术后造口并发症的原因分析与护理[J]. 中华护理杂志, 2010, 45(9): 799-800.
8. 　Collett K. Practical aspects of stoma management [J]. Nurs Stand, 2002, 17(8): 45-52.
9. 　Rolstad BS, Erwin-Toth PL. Peristomal skin complications: prevention and management[J]. Ostomy Wound Manage, 2004, 50(9): 68-77.
10. 　Ratliff CR, Donovan AM. Frequency of peristomal complications [J]. Ostomy Wound Manage, 2001, 47(8): 26-29.
11. 　Colwell JC, Beitz J. Survey of wound, ostomy and continence (WOC) nurse clinicians on stomal and peristomalcomplications: a content validation study[J]. J Wound Ostomy Continence Nurs, 2007, 34(1): 57-69.
12. 　Turnbull GB, Erwin-Toth P. Ostomy care: foundation for teaching and practice[J]. Ostomy Wound Manage, 1999, 45(Suppl 1A): 23-30.
13. 　Alvey B, Beck DE. Peristomal dermatology[J]. Clin Colon Rectal Surg, 2008, 21(1): 41-44.
14. 　周皎琳, 邱辉忠, 林国乐. 结直肠吻合的预防性造口术——袢式横结肠造口与袢式回肠造口的比较[J]. 中国现代手术学杂志, 2011, 15(1): 65-68.

West China Medical Journal

Nursing Care of Complications Following Protective Loop Transverse Colostomy for Patients with Low Rectal Cancer

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