Pressure ulcers in patients with diabetes mellitus complicated with paraplegia Nursing.doc

 PAGE \* MERGEFORMAT 5 Pressure ulcers in patients with diabetes mellitus complicated with paraplegia Nursing [Keywords:] bedsores, nursing, paraplegia, diabetes Paraplegia incidence of pressure sores from 25% to 85%. Bedsores had become a threat to quality of life of paraplegic patients an important factor, but also the rehabilitation of paraplegic patients is an important component of care, and diabetes is also high risk factors of pressure ulcers [ 12]. Therefore, diabetic patients with paraplegia higher the incidence of pressure sores, and the care and treatment are more difficult. our hospital from January 2005 to December 2008 treated diabetic patients with pressure ulcers in 13 cases of paraplegia complicated, we have intensive care based on the combined use of insulin treatment of bedsore gentamicin topical, and achieved satisfactory results, are as follows. 1 Materials and Methods 1.1 Clinical data of 13 cases of this group of patients, including 5 males and 8 females, aged 43 to 75 years old, bedsore area of 2 ~ 42 cm2, more than 5 years have a history of diabetes. Paraplegia of 13 cases of diabetes complicated with pressure ulcers were randomly divided into treatment of 7 patients in the control group in 6. control group using the general care of pressure sores, the treatment group in the general care of insulin on the basis of combined gentamicin topical treatment. The cure rate were observed, and recovery time. two groups of patients gender, age, level of lesion, length of stay, etc., no significant difference. 1.2 nursing nursing treatment group are: the use of air-bed, regular turning, turning every 2 h 1, stand should avoid dragging, pushing and other actions to prevent the skin friction and damage, control of blood glucose in the 5.6 ~ 11.2 mmol / L range inside, based on the patient’s condition to develop the appropriate diet plan, Eat small meals often to ensure that the protein, sugar, fat, vitamins and trace elements in a