Irregular bowel movements are common in the early stage of rectal cancer patients after colostomy, and patients have no sense of control over bowel movements, which brings many inconveniences to their lives, and their bodies and minds are greatly tested. However, after careful care of the artificial anus and the patient’s active cooperation in exercise, defecation will gradually become controllable. The rehabilitation period care and strengthening the management of the stoma can enable the patient to resume normal work and life. 1. Attention should be paid to the protection of the skin around the stoma. The skin around the stoma is prone to skin eczema and erosion due to the stimulation and corrosion of feces and digestive juices, which can be avoided if early attention is paid. It is important to keep the skin around the stoma clean and dry, and wash it with warm water every day to keep it clean and hygienic. Use petroleum jelly gauze or zinc oxide ointment around the stoma, scrub with water after each bowel movement and then replace again to prevent inflammation of the skin around the stoma. In the early postoperative period, it is advisable to sleep in the left-sided position to avoid infection caused by fecal contamination of the wound. If skin eczema has occurred, rinse with water to keep the area clean and dry. In case of local erosion, zinc oxide ointment can be applied for protection, and skin cream can also be used. At the same time, we should look for the cause of the ambassador’s excessive dilution, such as diarrhea should be oral antidiarrheal drugs. Liaocheng Hospital of Anorectal Medicine Xu Xiaowei 2, gradually develop the habit of regular bowel movements. If there is no bowel movement for several days, you can take laxative or go to the hospital for artificial anal enema. To train the awareness of regular bowel movements, you can use the method of enema twice a day and gradually reduce it later to stimulate the artificial anus and other intestinal mucosal reactions. Use 500-1000 ml of warm saline enema each time. Patients can learn from competent doctors and nurses before discharge and gradually learn to perform self-enucleation, and pay attention to not overexerting force when inserting the intestinal tube by enema to prevent intestinal perforation. Patients can carefully experience, find out the regularity of defecation and develop the habit of regular defecation. 3.Some patients have a narrow colostomy due to scar contracture after surgery, and the stoma should be enlarged as appropriate after surgery. Use your finger to expand the artificial anus every day to stimulate the sensitivity of the mucosa of the artificial anus, and also to prevent the artificial anus from contracting and becoming narrow when it heals and causing obstruction again. The method is to use the index finger with lubricant and then slowly push it into the stoma, staying inside for five minutes, slowly and not roughly. If the stenosis is severe enough to prevent normal defecation, medical examination and surgery are required. 4. Avoid actions that increase intra-abdominal pressure. If you have difficulty in defecation, you should seek medical help to avoid intestinal mucosal prolapse or increased abdominal pressure triggering intestinal hernia. The degree of activity should be properly mastered, emotions should be stable, strenuous exercise and bending activities should be properly restrained to avoid excessive increase in abdominal pressure, and wrap a belt when standing. When the prolapsed intestinal tube becomes embedded, the intestinal wall is edematous, or even bruised and necrotic, seek medical treatment in time. 5, observe the blood supply of the stoma. Normal mucosa should be red and lustrous, if it is purple or black, it means that blood flow is impaired. Observe the color, gas, taste and amount of excrement for any abnormality, and seek medical attention at any time when there is discomfort. 6, because the stoma does not have a normal sphincter. And basically lost the function of controlling feces, therefore, the clinical use of stoma bags to prevent the spillage of feces. Colostomy opening will generally be 1 to 2 cm above the skin surface, to facilitate the wearing of the stoma bag, storage of feces. Clean the stoma and the surrounding skin before using the artificial anal pouch, and absorb the moisture with soft paper. Align the round mouth of the pouch with the artificial anus, measure the approximate inner diameter, then simply adjust the inner mouth to fit the skin around the artificial anus opening, close the clips, and fasten the belt on both sides. When the stool exceeds 1/3 of the pouch, it is necessary to clean and replace the pouch with a new one. Improper use of the pouch can lead to stoma abrasion, bleeding, infection, fecal spillage, contamination of clothing and odor. Therefore, two or more ostomy bags should be prepared, alternate use, or choose disposable ostomy bags. 7. It is very important to keep the stool sticky and formed. According to the doctor’s guidance, appropriate use of drugs to inhibit intestinal peristalsis, such as loperamide, abdominal tincture of camphor, etc., to prolong the retention time of intestinal contents, increase the absorption of water and electrolytes, to control the number of bowel movements. If diarrhea due to intestinal inflammation occurs, oral antibiotics can be administered.