Kruger Erwin A, Pires Marilyn, Ngann Yvette, Sterling Michelle, Rubayi Salah
Department of Surgery, Pressure Ulcer Management Service, Rancho Los Amigos National Rehabilitation Center, Downey, CA, USA.
Department of Nursing, Rancho Los Amigos National Rehabilitation Center, Downey, CA, USA.
J Spinal Cord Med. 2013 Nov;36(6):572-85. doi: 10.1179/2045772313Y.0000000093. Epub 2013 May 21.
Pressure ulcers in spinal cord injury represent a challenging problem for patients, their caregivers, and their physicians. They often lead to recurrent hospitalizations, multiple surgeries, and potentially devastating complications. They present a significant cost to the healthcare system, they require a multidisciplinary team approach to manage well, and outcomes directly depend on patients' education, prevention, and compliance with conservative and surgical protocols. With so many factors involved in the successful treatment of pressure ulcers, an update on their comprehensive management in spinal cord injury is warranted. Current concepts of local wound care, surgical options, as well as future trends from the latest wound healing research are reviewed to aid medical professionals in treating patients with this difficult problem.
脊髓损伤患者的压疮对患者本人、其护理人员及其医生来说都是一个具有挑战性的问题。它们常常导致反复住院、多次手术以及可能带来毁灭性的并发症。它们给医疗系统带来了巨大的成本，需要多学科团队协作才能妥善管理，而且治疗结果直接取决于患者的教育程度、预防措施以及对保守和手术方案的依从性。由于成功治疗压疮涉及诸多因素，因此有必要对脊髓损伤患者压疮的综合管理进行更新。本文回顾了局部伤口护理的当前理念、手术选择以及最新伤口愈合研究的未来趋势，以帮助医疗专业人员治疗患有这一难题的患者。
