Goldstein B, Sanders J E, Benson B
Spinal Cord Injury Service, Seattle VA Medical Center, Seattle, Washington 98108, USA.
Am J Phys Med Rehabil. 1996 Mar-Apr;75(2):130-3. doi: 10.1097/00002060-199603000-00011.
Pressure ulcers are an immense problem among older and disabled populations. Although there are many studies in the literature about the etiology, interface pressures, natural history, and epidemiology of skin breakdown, there is relatively little information about factors that stimulate the repair of body wall tissues after breakdown. Specifically, there is a paucity of information about the effects of mechanical stress on healing. This is a particularly important consideration for those areas, such as the perineal tissues, that bear large mechanical forces. The purpose of this paper is to discuss the research that addresses skin and tissue repair in response to tension. Two case studies that support the hypothesis that tension stimulates wound healing are presented from the Spinal Cord Injury Center at the Seattle VAMC. After weeks of nonhealing, each of these cases healed within 2 weeks of initiating a range of motion program that applied tension to the nonhealing portion of a myocutaneous flap.
压疮在老年人和残疾人群体中是一个严重的问题。尽管文献中有许多关于皮肤破损的病因、界面压力、自然病史和流行病学的研究，但关于破损后刺激体壁组织修复的因素的信息相对较少。具体而言，关于机械应力对愈合影响的信息匮乏。对于承受较大机械力的区域，如会阴组织，这是一个特别重要的考虑因素。本文的目的是讨论针对张力引起的皮肤和组织修复的研究。西雅图退伍军人事务医疗中心脊髓损伤中心提供了两个案例研究，支持张力刺激伤口愈合这一假说。在数周不愈合之后，这些案例中的每一个在启动对肌皮瓣未愈合部分施加张力的活动范围训练计划后的2周内均愈合。
