Goode P S, Thomas D R
Center for Aging, Division of Gerontology and Geriatric Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35233-2114, USA.
Clin Geriatr Med. 1997 Aug;13(3):543-52.
Local care of pressure ulcers includes wound cleansing, débridement, and dressings. Wound cleansing should remove loose debris and exudate but should not damage viable tissue. Saline irrigation is the standard. Débridement is often necessary for Stage III and IV pressure ulcers and can be performed autolytically, mechanically, enzymatically, or sharply. Prompt débridement is essential for infected wounds. Dressings should keep the wound bed continuously moist, should not be toxic to granulation tissue, and should keep the surrounding intact skin dry. Randomized, controlled clinical trials are necessary to define optimal local wound care further.
压疮的局部护理包括伤口清洁、清创和敷料应用。伤口清洁应清除松散的碎屑和渗出物，但不应损伤存活组织。生理盐水冲洗是标准方法。清创对于Ⅲ期和Ⅳ期压疮通常是必要的，可通过自溶、机械、酶解或锐性方式进行。对于感染伤口，及时清创至关重要。敷料应保持伤口床持续湿润，对肉芽组织无毒，且应保持周围完整皮肤干燥。需要进行随机对照临床试验以进一步明确最佳的局部伤口护理方法。
