Wang Y L, Hu H Y, Wu Q, Wei H Y
Wound & Ostomy Care Clinic, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
Department of General Surgery, Shuangling Campus of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2024 Jan 20;40(1):96-100. doi: 10.3760/cma.j.cn501225-20231101-00169.
Pressure injury (PI) not only reduces the quality of life of patients but also is expensive to manage, placing a heavy financial burden on patients and their families, and society. Despite the increasing diversity of methods used to identify early PI, there are still few methods that can truly and accurately predict early PI. The sub-epidermal moisture scanner is the first U.S. Food and Drug Administration-authorized PI management device that can predict the occurrence and development of PI by measuring the level of local tissue bio-capacitance and monitoring the tissue viability. As an emerging diagnostic instrument, the sub-epidermal moisture scanner has already shown great advantages in clinical practice, which can promote the informatization, digitization, and intelligent prevention and management of PI. This paper introduces the pathophysiological mechanism of PI, elucidates the working principle and parameter settings of the sub-epidermal moisture scanner, its clinical application in monitoring tissue viability in early PI, and its limitation, and looks forward to its future development.
压力性损伤(PI)不仅会降低患者的生活质量,而且管理成本高昂,给患者及其家庭以及社会带来沉重的经济负担。尽管用于识别早期PI的方法日益多样,但仍很少有方法能够真正准确地预测早期PI。皮下水分扫描仪是美国食品药品监督管理局授权的首个PI管理设备,它可以通过测量局部组织生物电容水平并监测组织活力来预测PI的发生和发展。作为一种新兴的诊断仪器,皮下水分扫描仪在临床实践中已显示出巨大优势,可促进PI的信息化、数字化以及智能预防和管理。本文介绍了PI的病理生理机制,阐明了皮下水分扫描仪的工作原理和参数设置、其在早期PI组织活力监测中的临床应用及其局限性,并展望了其未来发展。