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脊髓损伤患者压疮部位微循环特点研究。

Study on the characteristics of microcirculation in the site of pressure ulcer in patients with spinal cord injury.

机构信息

School of Rehabilitation Medicine, Capital Medical University, Beijing, China.

Department of Spinal and Neural Function Reconstruction, China Rehabilitation Research Center, Beijing, China.

出版信息

Sci Prog. 2021 Jul-Sep;104(3):368504211028726. doi: 10.1177/00368504211028726.

DOI:10.1177/00368504211028726
PMID:34495784
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10450762/
Abstract

To investigate the characteristics of pressure ulcer microcirculation in SCI patients with pressure ulcer, and to provide evidence for the treatment of pressure ulcer in patients with SCI. Group 1 ( = 12) SCI patients with pressure ulcer, 23 pressure ulcers were included. Group 2 ( = 15) SCI patients without pressure ulcer and the control group ( = 16) healthy adults. The application of laser Doppler perfusion imaging system (Moor FLPI) detector to the microcirculation perfusion of the sacrum area of the control group, the observation group 2 and the pressure ulcer site of the observation group 1, record the microcirculation perfusion (PU), The data of microcirculation perfusion (PU) were compared and analyzed. The correlation between microcirculation perfusion and healing time of pressure ulcer was analyzed. (1) The microcirculation perfusion was highest in the pressure ulcer center. (2) SCI patients and healthy adults had no significant difference of microcirculation perfusion at sacrococcygeal skin. (3) The lower the microcirculation perfusion of the pressure ulcer center, the longer the healing time of pressure ulcer. The healing time and the microcirculation perfusion of pressure ulcer center was negatively correlated. Microcirculation perfusion detection is a noninvasive and effective method for the determination of the scope of pressure ulcer, detection and direction judgment of pressure ulcer sinus tract, monitoring and guidance of pressure ulcer treatment, and prediction of the healing time of pressure ulcer.

摘要

为了研究 SCI 患者压疮微循坏特点，为 SCI 患者压疮的治疗提供依据。将 12 例 SCI 合并压疮患者设为观察组 1，共 23 处压疮；将 15 例 SCI 无压疮患者设为观察组 2；另选 16 例健康成年人作为对照组。应用激光多普勒血流灌注成像系统（Moor FLPI）检测仪对观察组 2 和观察组 1 的压疮部位及对照组的骶尾部区域进行微循坏灌注检测，记录微循坏灌注（PU）值，对比分析微循坏灌注（PU）值。分析微循坏灌注与压疮愈合时间的相关性。（1）压疮中心部位微循坏灌注最高。（2）SCI 患者与健康成年人骶尾部皮肤微循坏灌注无明显差异。（3）压疮中心部位微循坏灌注越低，压疮愈合时间越长。压疮愈合时间与压疮中心部位微循坏灌注呈负相关。微循坏灌注检测是一种无创、有效的压疮范围确定、压疮窦道检测及方向判断、压疮治疗监测及指导、压疮愈合时间预测的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/df681293bb5e/10.1177_00368504211028726-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/16ef8af00211/10.1177_00368504211028726-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/26d7679e87b8/10.1177_00368504211028726-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/865bc09adeee/10.1177_00368504211028726-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/06a967f99c9e/10.1177_00368504211028726-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/49ac06887490/10.1177_00368504211028726-fig5.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/2900c458b03b/10.1177_00368504211028726-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/ba660078a37f/10.1177_00368504211028726-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/e75ee6e2772d/10.1177_00368504211028726-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/df681293bb5e/10.1177_00368504211028726-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/16ef8af00211/10.1177_00368504211028726-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/26d7679e87b8/10.1177_00368504211028726-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/865bc09adeee/10.1177_00368504211028726-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/06a967f99c9e/10.1177_00368504211028726-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/49ac06887490/10.1177_00368504211028726-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/c2b9bb9f6a6d/10.1177_00368504211028726-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/2900c458b03b/10.1177_00368504211028726-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/ba660078a37f/10.1177_00368504211028726-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/e75ee6e2772d/10.1177_00368504211028726-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5578/10450762/df681293bb5e/10.1177_00368504211028726-fig10.jpg

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