褥疮护理（bedsore care）.doc

褥疮护理（bedsore care） Pressure ulcer, also known as pressure ulcer, refers to the pressure and friction or shear force caused by the skin and subcutaneous tissue localized damage. Pressure, malnutrition, dampness and friction are the causes of pressure sores. Pressure ulcer is a common clinical complication, common in bedridden chronic diseases and critically ill patients, especially elderly patients, the elderly, due to decreased skin elasticity of vascular sclerosis, malnutrition, muscle atrophy or accompanied by nerve dysfunction, combined with a variety of diseases and other reasons, the high incidence of pressure sores, treatment is difficult, if not timely and effective treatment, pressure ulcer quickly deepened, more pain and economic burden to the patient, Staged treatment The 1 stage is congestion ruddy compression skin redness, swelling, heat, pain or numbness, this is mainly to avoid local remain under pressure to keep the skin clean and dry, 2 times a day with warm boiling water scrubbing, increase the number of emancipation, 1 h to 2 h over 1 times, to maintain smooth bed dry and free of debris. 2 inflammatory infiltration period is the pressure area, skin purple red, subcutaneous formation of hard nodes, blisters. Treatment methods: small blisters rupture prevention, large blisters with a syringe out of the blister fluid intravasation in aseptic operation, then coated with ethanol or iodophor disinfection, and the infrared lamp baking, topical Mupirocin Ointment. 3, shallow ulcer stage is the expansion of the skin blisters, ulceration, ulceration. At this point should be cleaned and disinfected sores surface, and then coated with moist burn ointment, anti infection, improve local blood circulation, go to saprophytic muscles, enhance immunity, reduce scar formation, [1]. Another treatment is to clean, disinfect, and remove sores, then apply fresh egg lining to the wound to avoid compression. The change time of sore surface is 1 times every other day. If th