骶尾部Ⅲ期、Ⅳ期压疮的围手术期护理  

Perioperative Nurse Care of Sacrococcygeal stage Ⅲ and stage ⅣPressure Sores

作　　者：周琴[1] 张敏[1] 康福霞[1] 李秦[1] 臧妍[1] 石雪芹[1] 

机构地区：[1]第四军医大学西京医院全军烧伤中心,陕西西安710032

出　　处：《中国美容医学》2009年第11期1682-1683,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:通过对骶尾部Ⅲ期、Ⅳ期压疮患者进行围手术期的护理,促进患者术后康复,提高术后满意度。方法:对42例并发骶尾部Ⅲ期、Ⅳ期压疮患者从全身支持治疗、心理护理、术区准备、术后对皮瓣和全身情况的观察、术后体位护理等方面总结围手术期护理对提高皮瓣成活率,减少术后并发症的重要性。结果:42例患者骶尾部皮瓣全部成活,术后恢复良好,出院随访均6个月以上,无复发。结论:加强术前全身支持治疗和护理,做好患者、家属的心理护理,做好术区准备,术后伤口连续灌洗与负压吸引,对皮瓣和全身情况的密切观察,术后合理应用翻身床是骶尾部Ⅲ期、Ⅳ期压疮患者围手术期护理的关键。Objective： To promote the postoperative recovery and increase the postoperative satisfaction ratings by perioperative nurse care of patients with sacroooccygeal stage Ⅲ, Ⅳ stage pressure sores. Methods To summarize the importance of perioperative nurse care in improving flap survival and reducing postoperative complications through the systemic support treatment, psychological care, surgery area preparation and observation of the flap and the body in 42 patients complicated with sacrococcygeal stage Ⅲ, Ⅳ stage pressure sores. Results Sacrococcygeal flaps of 42 patients all survived and recovered well. Patients were followed up for more than 6 months with no recurrence. Conclusion Strengthening the preoperative systemic support treatment and care, proper psychological care of patients and their families, good surgery area preparation, postoperative continuous wound irrigation and vacuum suction, close observation of the flap and the general condition and reasonable application of turning over bed are critical in the nurse care of the patients with sacrococcygeal stage Ⅲ, Ⅳ stage pressure sores.

关 键 词：骶尾部 压疮 围手术期护理 

分 类 号：R473.6[医药卫生—护理学]