BRADEN评分的应用医.pptVIP

压疮发生危险因素BRADEN评估表的应用 汪明清 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  2 学习内容 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  3 压疮的概述 定义 压疮是身体局部组织长期受压、血液循环障碍、组织营养缺乏，致使皮肤失去正常功能而至皮肤及软组织的破损和坏死。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  4 压疮的概述 压疮最早称为褥疮，现在多采用压迫性溃疡或压疮。从病因、病理生理学角度，更能准确概括本病的实质，反出受压而引起的病理学变化。褥疮这一名词近年逐渐被废弃。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  5 压疮的概述 压疮—发生率(国外有关资料统计) 住院老年人，发生率为10％～25％。 急救医院，发生率为9.2％。 一般医院的发生率为 3％～14％。 患病未入院而在家中治疗发生率为50%。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  6 压疮的分期 淤血红润期 局部皮肤完整，有持续不退的红斑、超过30分钟不消退。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  7 压疮的分期 炎性侵润期 皮肤有水泡或红疹，已经伤到真皮层。伤口基部呈潮湿粉红，会有疼痛感。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  8 压疮的分期 浅度溃疡期 皮肤层全部受伤已经深到皮下组织或脂肪。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  9 压疮的分期 深度溃疡期 较第三级更深已达到肌膜、肌肉，甚至深及骨头。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  10 压疮发生的原因 压力；剪切力；摩擦力；潮湿 循环、呼吸不稳定；运动功能减退和感觉功能障碍；低蛋白血症；贫血；心理应激；皮肤生理异常 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  11 预防胜于治疗！ 压疮一旦发生，不仅给病人带来痛苦，加重病人负担，还会引起护理纠纷，因此，压疮的预防是临床护理工作中的重点和难点。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Page  12 控制压疮发生的关键是预防！