作者：谢嘉欣1，刁德昌2，魏琳3，刘杨晨3，谭萍2，尤久红2，冯南南2，胡萍1，朱丽佳4，隆丽芳4，谢湘萁1，林美珍3

单位：1.广州中医药大学 第二临床医学院，广东 广州 510405； 2.广东省中医院 胃肠肿瘤中心，广东 广州 510120； 3.广东省中医院 护理部，广东 广州 510120； 4.湖南中医药大学 护理学院，湖南 长沙 410208

Authors:  Xie Jiaxin1, Diao Dechang2, Wei Lin3, Liu Yangchen3, Tan Ping2, You Jiuhong2, Feng Nannan2, Hu Ping1, Zhu Lijia4, Long Lifang4, Xie Xiangqi1, Lin Meizhen3

Unit: 1.Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou 510405, Guangdong, China； 2.Gastrointestinal Tumor Center, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong, China； 3.Department of Nursing, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, Guangdong, China； 4. College of Nursing, Hunan University of Traditional Chinese Medicine, Changsha 410208, Hunan, China

摘要：

目的 探讨并总结9例结直肠肿瘤术后并发坏死性筋膜炎患者的护理方法。方法 回顾2020年1月8日至2022年10月18日广东省中医院结直肠外科、肛肠科收治的9例结直肠肿瘤术后并发坏死性筋膜炎，收集患者的一般信息、肿瘤特征、诊治过程等资料，总结护理策略。结果 经过及时手术清创以及创面、疼痛、心理等综合护理，6例患者康复顺利出院，3例炎症控制后带管转至下级医院继续治疗。结论 多方面的个性化综合护理，特别是及时发现坏死性筋膜炎、系统高效的创面护理有利于控制感染，提高坏死性筋膜炎疗效，减轻疼痛，促进康复。

关键词：坏死性筋膜炎；创面护理；综合护理；康复

Abstract：

Objective  To explore and summarize the nursing methods of 9 patients with necrotizing fasciitis after colorectal cancer surgery. Method From January 8, 2020 to October 18, 2022, 9 patients with necrotizing fasciitis after colorectal cancer surgery in the Department of Colorectal Surgery and Anorectal Department of Guangdong Provincial Hospital of Traditional Chinese Medicine were reviewed. The general information, tumor characteristics, diagnosis and treatment process of the patients were collected, and the nursing strategies were summarized. Result After timely surgical debridement and comprehensive nursing of wound, pain and psychology, 6 patients recovered and discharged smoothly, and 3 patients were transferred to the lower hospital for further treatment after inflammation control. Conclusion Multifaceted personalized comprehensive nursing, especially timely detection of necrotizing fasciitis, systematic and efficient wound careis conducive to controlling infection, improving the efficacy of necrotizing fasciitis, reducing pain and promoting rehabilitation.

Key Words:  Necrotizing fasciitis; Wound care; Comprehensive care; Rehabilitation