Objective To explore the clinical application value of ostomy bag in the gastrointestinal surgical abdominal operation. Methods Forty - nine patients with gastrointestinal surgical abdominal operation were randomly divided into the traditional drainage group ( using abdominal cavity drainage tube combined with drainage bag ) and ostomy drainage group ( using ostomy bag combined with drainage bag ). Results The rate of healing by first intension in ostomy drainage group was significantly higher than that of the traditional drainage. Drainage tube placed time, healing time of drainage outlet,the average hospitalization time and the total dressing change budget were less than those in the traditional drainage group ( P < 0. 05 ); after a follow - up of 6 months, the comfort of ostomy drainage group rised generally, and there was a statistical difference compared with that of the traditional drainage group ( P <0. 05 );in addition, complication rate of traditional drainage group was significantly higher than that of ostomy drainage group ( P < 0. 05 ). Conclusion Gastrointestinal surgical abdominal operation drainage aided by ostomy bag can promote wound healing, reduce the doctors' workload and improve patients' comfort.%目的 探讨造口袋在胃肠外科腹部手术切口引流中的应用价值.方法 将符合标准的胃肠道外科腹部手术患者49例随机分成传统引流组(采用腹腔引流管接引流袋)23例和造口袋引流组(造口袋与引流袋配合使用)26例.结果 造口袋引流组切口Ⅰ期愈合率明显高于传统引流组,引流管放置时间、引流口愈合时间、平均住院时间以及总换药经费也少于传统引流组(P＜0.05);术后随访6个月,应用造口袋引流组的舒适度普遍提高,与传统引流组比较差异有统计学意义(P＜0.05);此外传统引流组的并发症发生率明显高于造口袋引流组(P＜0.05).结论 造口袋辅助应用于胃肠道外科腹部手术引流中可促进切口愈合,减少医生工作量,提高患者舒适度.
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