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铝漆在造口周围皮肤糜烂管理中的作用。一项病例对照研究。

Role of aluminium paint on the management of peristomal skin excoriation . A case.control study.

作者信息

Hajong Ranendra

机构信息

Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya.

出版信息

J Minim Access Surg. 2022 Oct-Dec;18(4):557-559. doi: 10.4103/jmas.jmas_149_21.

DOI:10.4103/jmas.jmas_149_21
PMID:36204935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9632705/
Abstract

INTRODUCTION

Peristomal skin excoriation is the most common complication of any stoma, especially of ileostomy and entero-cutaneous fistula. Effluent is erosive to skin and at times leads to excoriation of skin and pain or discomfort to the patient. Many strategies or local medications are being used to treat excoriated skin and give comfort to the patient. Aluminium paint is a cheap and effective means of managing skin excoriation.

MATERIALS AND METHODS

This case-control study was conducted in NEIGRIHMS from January 2015 to October 2020 on the role of aluminium paint for the management of skin excoriations due to stoma and fistula. A total of 19 patients were managed with aluminium paint and compared with the data of 19 other patients who were managed by conventional dressings as controls.

RESULTS

Aluminium paint helped in the earlier healing of skin excoriations and give comfort to the patients as compared to normal dressings.

CONCLUSION

Aluminium paint is safe and cost-effective skin barrier to prevent and to manage skin excoriations.

摘要

引言

造口周围皮肤糜烂是任何造口最常见的并发症，尤其是回肠造口术和肠皮肤瘘。排泄物对皮肤有侵蚀性，有时会导致皮肤糜烂，给患者带来疼痛或不适。许多策略或局部药物被用于治疗皮肤糜烂，为患者提供舒适感。铝漆是一种管理皮肤糜烂的廉价且有效的方法。

材料与方法

本病例对照研究于2015年1月至2020年10月在东北印度卫生与医学科学研究所进行，旨在研究铝漆在治疗造口和瘘导致的皮肤糜烂中的作用。共有19例患者使用铝漆进行治疗，并与另外19例采用传统敷料治疗的患者数据作为对照进行比较。

结果

与普通敷料相比，铝漆有助于皮肤糜烂更早愈合，并为患者带来舒适感。

结论

铝漆是一种安全且具有成本效益的皮肤屏障，可预防和管理皮肤糜烂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68c/9632705/5641036da38d/JMAS-18-557-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68c/9632705/b3f3942db42f/JMAS-18-557-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68c/9632705/02b8943b7965/JMAS-18-557-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68c/9632705/5641036da38d/JMAS-18-557-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68c/9632705/b3f3942db42f/JMAS-18-557-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68c/9632705/02b8943b7965/JMAS-18-557-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68c/9632705/5641036da38d/JMAS-18-557-g003.jpg

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本文引用的文献

1
Enterocutaneous Fistula: Different Surgical Intervention Techniques for Closure along with Comparative Evaluation of Aluminum Paint, Karaya Gum (Hollister) and Gum Acacia for Peristomal Skin Care.肠皮肤瘘：用于闭合的不同手术干预技术以及铝漆、卡拉亚胶（霍利斯特）和阿拉伯胶用于造口周围皮肤护理的比较评估。
J Clin Diagn Res. 2015 Dec;9(12):PC16-20. doi: 10.7860/JCDR/2015/16303.6981. Epub 2015 Dec 1.
2
The effects of using a moldable skin barrier on peristomal skin condition in persons with an ostomy: results of a prospective, observational, multinational study.使用可塑形皮肤屏障对造口人士造口周围皮肤状况的影响：一项前瞻性、观察性、多国研究的结果
Ostomy Wound Manage. 2014 Dec;60(12):16-26.
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A descriptive study of commonly used postoperative approaches to pediatric stoma care in a developing country.
Ostomy Wound Manage. 2013 Dec;59(12):32-7.
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A glycerin hydrogel-based wound dressing prevents peristomal infections after percutaneous endoscopic gastrostomy (PEG): a prospective, randomized study.一种甘油水凝胶基伤口敷料可预防经皮内镜胃造瘘术（PEG）后发生的造口周围感染：一项前瞻性、随机研究。
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Aluminum hydroxide gel for erosions in patients with bowel fistulas.用于肠瘘患者糜烂的氢氧化铝凝胶。
J Am Med Assoc. 1946 Jun 8;131:520-2. doi: 10.1001/jama.1946.02870230026006a.
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Stoma complications: a literature overview.造口并发症：文献综述。
Colorectal Dis. 2010 Oct;12(10):958-64. doi: 10.1111/j.1463-1318.2009.02006.x.
7
Stoma-related complications and stoma size - a 2-year follow up.造口相关并发症与造口大小 - 2 年随访。
Colorectal Dis. 2010 Oct;12(10):971-6. doi: 10.1111/j.1463-1318.2009.01941.x.
8
Human health risk assessment for aluminium, aluminium oxide, and aluminium hydroxide.铝、氧化铝和氢氧化铝的人体健康风险评估。
J Toxicol Environ Health B Crit Rev. 2007;10 Suppl 1(Suppl 1):1-269. doi: 10.1080/10937400701597766.
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Betel leaf in stoma care.槟榔叶在造口护理中的应用。
J Pediatr Surg. 2007 Jul;42(7):1263-5. doi: 10.1016/j.jpedsurg.2007.02.025.