Graham Julia
Arran War Memorial Hospital, Lamlash, Isle of Arran.
Nurs Times. 2005;101(4):47-8.
There is a substantial body of literature that emphasises the importance of measuring ankle brachial pressure index (ABPI) as part of an holistic assessment for leg ulcers (Scottish Intercollegiate Guideline Network, 1998). However, there is a paucity of research-based evidence to indicate the importance of measuring ABPI as part of an holistic assessment for patients who develop pressure ulcers on their heels. (ABPI is a simple, non-invasive method of identifying arterial insufficiency within a limb.) The importance of identifying the presence of peripheral vascular disease (PVD) in patients who develop pressure ulcers on their heels is discussed, as is the argument for measuring ABPI as part of an holistic assessment for heel ulceration before planning the wound management.
有大量文献强调，作为腿部溃疡整体评估的一部分，测量踝肱压力指数（ABPI）很重要（苏格兰校际指南网络，1998年）。然而，缺乏基于研究的证据表明，对于足跟发生压疮的患者，测量ABPI作为整体评估的一部分具有重要性。（ABPI是一种识别肢体动脉供血不足的简单、非侵入性方法。）本文讨论了在足跟发生压疮的患者中识别外周血管疾病（PVD）的重要性，以及在规划伤口管理之前，将测量ABPI作为足跟溃疡整体评估一部分的理由。
