Evaluation of Leakage Management and Skin Care by Improved Homemade Mobile Vacuum Sealing Drainage Device for Enterocutaneous Fistula Patients_West China Medical Journal

Authors：

 LIUChun-juan ¹ , YINYi-qiong ¹ , QINQing-mei ¹ , WENYue ¹ ,  NINGNing ²

1. Gastrointestinal Center Ward, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

NINGNing, Email: gkningning@163.com

Keywords：

Intestinal fistula; Nursing care; Vacuum sealing drainage

DOI：

10.7507/1002-0179.20150211

Video：

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Objective To explore the leakage management and skin care by improved homemade portable vacuum sealing drainage device used for enterocutaneous fistula, in order to solve such confusing problems as leakage collection and nursing for patients with inconvenient activity. Methods The homemade portable vacuum sealing drainage device was made by using hydrophilic fiber of silver ion antimicrobial dressings, leak-proof strings, skin protective film, transparent patches, sputum suction tube, bottle of portable infusion, and negative pressure drainage bottle. Between January 2011 and September 2013, patients with enterocutaneous fistula admitted into our hospital were divided into traditional treatment group and portable vacuum sealing treatment group according to the admission time, and traditional center negative pressure suction treatment and portable negative pressure drainage method were used respectively for the two groups of patients. We verified the effect of the mobile vacuum sealing drainage device through comparing these two groups in terms of wound healing time, redness, burst and impregnation of the skin. Results The wound healing time was significantly shorter for patients in the portable vacuum sealing drainage treatment group (P<0.05), and patients in this group also had a lower occurrence of skin redness, impregnation and burst. Conclusion Homemade portable negative pressure drainage device for enterocutaneous fistula patients can reduce the incidence of skin complications such as redness, impregnation and burst, promote patients' activity, and reduce the patients' pain.

Citation： LIUChun-juan, YINYi-qiong, QINQing-mei, WENYue, NINGNing. Evaluation of Leakage Management and Skin Care by Improved Homemade Mobile Vacuum Sealing Drainage Device for Enterocutaneous Fistula Patients. West China Medical Journal, 2015, 30(4): 740-742. doi: 10.7507/1002-0179.20150211 Copy

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11.	劉洋, 胡大海, 董茂龍, 等. 負壓封閉引流治療小鼠創面銅綠假單胞菌感染的效果及機制[J]. 中華燒傷雜志, 2011, 27(4):255-259.
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1. 黎介壽, 尹路. 腸外瘺[M]. 北京:人民軍醫出版社, 1995:8.
2. 陳少全, 王烈, 鄒忠東, 等. 粘貼式負壓沖吸器在高流量腸外瘺合并切口裂開治療中的應用[J]. 第二軍醫大學學報, 2007, 28(6):676-678.
3. 查全萍, 付琴香, 林瑞嬌, 等. 腸瘺合并切口裂開患者的封閉式負壓沖吸治療及護理[J]. 福建中醫藥, 2009, 40(2):60-61.
4. 應蓮琴, 唐慧琳, 王慧, 等. 改良式自制腹腔雙套管在腸瘺患者的應用護理[J]. 護士進修雜志, 2011, 26(1):70-71.
5. 金鮮珍, 喬莉娜, 廖春艷, 等. 自制負壓吸引裝置在腸外瘺患者傷口護理中的應用[J]. 護理學雜志, 2012, 27(22):80-81.
6. Webster J, Scuffham P, Sherriff KL, et al. Negative pressure wound therapy for skin grafts and surgical wounds healing by primary intention[J]. Cochrane Database Syst Rev, 2012:CD009261.
7. Vikatmaa P, Juutilainen V, Kuukasj?rvi P, et al. Negative pressure wound therapy:a systematic review on effectiveness and safety[J]. Eur J Vasc Endovasc Surg, 2008, 36(4):438-448.
8. 蔡秋妮, 盧偉鋒, 楊東海, 等. 改良封閉負壓輔助閉合技術在下肢靜脈性潰瘍的應用[J]. 華西醫學, 2014, 29(9):1603-1606.
9. 劉梅, 劉芳, 蔣敏君. 胰十二指腸切除術后并發腸瘺的觀察與護理[J]. 護士進修雜志, 2014, 29(15):1386-1388.
10. 湯惠英, 黃震佳, 袁霞, 等. 間斷沖洗加自制封閉式負壓引流治療四肢外傷性難愈創面的效果觀察及護理[J]. 華西醫學, 2013, 28(6):813-815.
11. 劉洋, 胡大海, 董茂龍, 等. 負壓封閉引流治療小鼠創面銅綠假單胞菌感染的效果及機制[J]. 中華燒傷雜志, 2011, 27(4):255-259.
12. Potter MJ, Banwell P, Baldwin C, et al. In vitro optimisation of topical negative pressure regimens for angiogenesis into synthetic dermal replacements[J]. Burns, 2008, 34(2):164-174.
13. Baldwin C, Potter M, Clayton E, et al. Topical negative pressure stimulates endothelial migration and proliferation:a suggested mechanism for improved integration of Integra[J]. Ann Plast Surg, 2009, 62(1):92-96.
14. 曾丁, 孫可, 陶白江, 等. 改良式封閉負壓療法在難愈性創面中的應用體會[J]. 中華損傷與修復雜志:電子版, 2011, 6(6):957-959.

West China Medical Journal

Evaluation of Leakage Management and Skin Care by Improved Homemade Mobile Vacuum Sealing Drainage Device for Enterocutaneous Fistula Patients

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