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脊柱：一项降低压疮复发率的倡议。

SPINE: An Initiative to Reduce Pressure Sore Recurrence.

作者信息

Brown Amanda L, Hassanein Aladdin H, Gabriel Keith, Mailey Brian A

机构信息

Division of Plastic Surgery, St. Louis University, St. Louis, Mo.

Division of Plastic Surgery, Indiana University School of Medicine, Indianapolis, Ind.

出版信息

Plast Reconstr Surg Glob Open. 2022 Nov 15;10(11):e4625. doi: 10.1097/GOX.0000000000004625. eCollection 2022 Nov.

DOI:10.1097/GOX.0000000000004625
PMID:36389613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9653185/
Abstract

The recurrence rate after pressure sore reconstruction remains high. Primary inciting factors can be organized into efforts aimed at wound prevention: spasticity relief, pressure off-loading, infection and contamination prevention, nutrition optimization, and maximizing extremity function. This article presents our detailed protocol, SPINE, to address each inciting factor with a summary of cases at our facility and review best practices from evidence-based medicine in the literature.

摘要

压疮重建后的复发率仍然很高。主要诱发因素可归纳为旨在预防伤口的措施：缓解痉挛、减轻压力、预防感染和污染、优化营养以及最大限度地提高肢体功能。本文介绍了我们详细的方案SPINE，以应对每个诱发因素，并总结了我们机构的病例情况，同时回顾了文献中基于循证医学的最佳实践。

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