Duan Haoyang, Li He, Liu Hongying, Zhang Hong, Liu Na, Dong Qingjun, Li Zhenlan
Department of Rehabilitation Medicine, The First Hospital of Jilin University, Changchun, Jilin, China.
Medicine (Baltimore). 2020 May;99(19):e19849. doi: 10.1097/MD.0000000000019849.
Pressure sores are major clinical problems with limited treatment options.
A 62-year-old man, admitted with unresponsive, indifferent mood, and malnutrition. A noval-shaped skin lesion deeping into the fascia was found in the sacrococcygeal region.
The patient was diagnosed with delayed carbon monoxide poisoning encephalopathy and stage IV sacrococcygeal pressure sores.
The patient received neurologic rehabilitation therapy and simple debridement dressing care followed by extracorporeal shockwave therapy.
The scores for the pressure ulcer healing scale were 17 points, 13 points, 9 points, and 5 points, respectively, before treatment and at the 4-, 8-, and 12-week follow-ups. At 2 weeks after discharging the total pressure ulcer healing scale score was 0, which signifies that the sacroiliac decubital necrosis healed without adverse reactions and side effects.
This study presents a therapeutic solution for treating older adults with pressure ulcers by using extracorporeal shockwave with alginate dressing, which proved effective and safe.
压疮是主要的临床问题，治疗选择有限。
一名62岁男性，因反应迟钝、情绪淡漠和营养不良入院。在骶尾部发现一个深入筋膜的新月形皮肤病变。
患者被诊断为迟发性一氧化碳中毒性脑病和IV期骶尾部压疮。
患者接受了神经康复治疗、简单清创换药护理，随后进行了体外冲击波治疗。
治疗前及4周、8周和12周随访时，压疮愈合量表评分分别为17分、13分、9分和5分。出院后2周，压疮愈合量表总评分变为0，这表明骶髂部褥疮坏死愈合，且无不良反应和副作用。
本研究提出了一种通过使用体外冲击波结合藻酸盐敷料治疗老年压疮患者的治疗方案，该方案被证明是有效且安全的。
