2016压疮护理新进展.ppt

压疮护理新进展主要内容: 1234 压疮的定义压疮发生的原因及好发部位压疮的最新分期压疮危险的评估及预防更新的背景及意义 2016 年4月8-9 日在芝加哥的专家会议上提出,此次会议有 400 名专家参会。来自弗吉尼亚大学的 Grey 教授引导分期小组及参会者在相互讨论与投票后达成一致。在会议上,参会者同时还以图片的形式确认了新的术语。 The updated staging definitions were presented at a meeting of over 400 professionals held inChicago on April 8-9, 2016. Using a consensus format, Dr. Mikel Gray from the University ofVirginia adeptly guided the Staging Task Force and meeting participants to consensus on theupdated definitions through an interactive discussion and voting process. During the meeting, theparticipants also validated the new terminology using photographs. 更新的背景及意义?由美国压疮顾问小组将压力性损伤(压疮)分期中,将压力性溃疡这一术语改为“压力性损伤”。不管完整和溃烂的皮肤损伤, “压力性损伤”该术语更改更能准确地描述其损伤。先前的分期系统中, Ⅰ期压疮和深部组织损伤描述为局部组织损伤,但表皮完整,而其他分期中却描述为开放性溃疡。若将压疮的每个阶段损伤定为压力性溃疡会导致观念混乱。除了压力性损伤术语发生变化,压疮分期系统中所现用的阿拉伯数字( stage1 ,2,3)代替罗马数字( Ⅰ,Ⅱ,Ⅲ)。先前分期系统中的“可疑深部组织损伤”中的"可疑"一词被去除。在会议中同意将医疗设备相关压力损伤和粘膜膜压伤纳入压力性损伤的范畴。 In addition to the change in terminology, Arabic numbers are now used in the names of the stages instead of Roman numerals. The term “ suspected ” has been removed from the Deep Tissue Injury diagnostic label. Additional pressure injury definitions agreed upon at the meeting included Medical Device Related Pressure Injury and Mucosal Membrane Pressure Injury. 最新“压力性损伤”(压疮)的定义压力性损伤:是发生皮肤和/或潜在皮下软组织的局限性损伤,通常发生在骨隆突处或与医疗或其他医疗设备有关的损伤。该压力性损伤可表现为局部组织受损但表皮完整或开放性溃疡并可能伴有疼痛。剧烈和(或)长期的压力或压力联合剪切力可导致压力性损伤出现。皮下软组织对压力和剪切力的耐受性受环境、营养、灌注、合并症和软组织的条件的影响。 Pressure Injury: A pressure injury is localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device. The injury can present as intact skin or an open ulcer and may be painful. The injury occurs as a result of intense and/or prolonged pressure or pressure bination with shear. The tolerance of soft tissue for pressure and shear may also be affected by microclimate, nutrition, perfusion, co-morbidities and condition of the soft tissue. 压力引起压疮的机制正常的毛细血管内压力为12~30mmHg 当局部压力>16mmHg