不同体位下局部持续受压对皮肤血流灌注和温度的影响.pdfVIP

海南医学院学报 2013.19( 1) ] ournal 01 Hainan Medical University 1595 网络出版地址 :/kcms/detaiI/46. 1049. R. 0902. 007. html 不同体位下局部持续受压对皮肤血流灌注和温度的影晌 蔡莉，刘雄彪，鲁巧云，谢爱明，代艳 (天门市第一人民医院皮肤科，湖北天门 431700) [摘要]町的:探讨不同体位下局部持续受压对人体皮肤血流灌注和温度的影响，为压疮的预防和治疗 提供依据。方锋:考察 50 例研究对象仰卧位、右侧卧位和半卧位持续受压后局部皮肤血流灌注量和温 度的变化。结果:不同体位持续受压后皮肤血流灌注量降低，温度升高，受压后血流灌注量值、皮肤温度 与基线值比较，差异具有统计学意义(P0.05) 。结伦:持续受压对于人体局部的皮肤血流灌注量和温 度有显著影响，对于长期卧床患者应着重加强局部护理，消除发生压疮的危险因素。 [关键词]压疮;压力;血流灌注量;温度 [中图分类号] R473 [文献标识码] B [文章编号] 1007-1237(2013)11-1595-03 Effects of different postures under continuing pressure on local skin blood perfusion and tem- perature CAI Li , LIU Xiong-biao , LU Qiao-yun , XIE Ai-ming , Dai Yan (Deρartment of Dermatology , The First Peoρles Hosρital of Tianmen City , Hubei Province , 431700 China) [Fow仇tion ProjωJ: Ihis m时 is Fina町叼lly Suρ户时edbyS如:ialFi仰仰lion如α阳ul Studies乒vm Committee of 必1edical J aurnal 0 fα.inese U饥Ersities (11221C邸;9) [AuthorJ: Cai LI (1967斗 ， Female , Tianmen Hubei , M. B. , Deputy Chief Physician , Tel: .E-mail: cailiiii@163.com Received: 2013-07-05 Revised: 2013-07-10 JHMC.2013 ;l 9(ll) :1595-1597 View from specialist: It is creative , and of certain scientific and educational val ue. [ABSTRACT] Objective: To explore the effects of different postures under continuing pressure on 10 cal skin blood perfusion and temperature. Methods: The skin blood perfusion and temperature changes of 50 volunteers at the posture of supine , right lateral and semi-recumbent under remained pressure were de- termined. Results: The skin blood perfusion was declined and the temperature was elevated under re mained pressure showing significant difference comparing with the baseline values (P both 0.05). Con- clusion: Continuous pressure has significant effect on local skin blood perfusion and temperature under suggesting that strengthening local care and eliminate pressure ulcers risk factors would be helpful for bed ridden patients. [KEY WORDSJ Pressure ulcers; Pressure; Pe