1例万古霉素骨水泥治疗高龄糖尿病患者骶尾部压力性损伤的护理  

Nursing of an elderly diabetic patient with sacrococcygeal pressure injury using vancomycin bone cement

作　　者：熊钱芬 文明 闫洋[3] 黄丹 刘琼芳[4] XIONG Qianfen;WEN Ming;YAN Yang;HUANG Dan;LIU Qiongfang(School of Nursing,Hubei University of Traditional Chinese Medicine,Wuhan 430065,China)

机构地区：[1]湖北中医药大学护理学院,武汉430065 [2]武汉市汉口医院神经外科 [3]武汉市汉口医院骨科 [4]武汉市汉口医院感染管理办公室

出　　处：《中国临床护理》2024年第3期196-198,F0003,共4页Chinese Clinical Nursing

摘　　要：文章总结了1例万古霉素骨水泥治疗高龄糖尿病患者骶尾部Ⅳ期压力性损伤的护理经验。针对患者情况,行骶尾部清创后实施万古霉素骨水泥填充术,在此过程中做好伤口护理、血糖管理、营养支持,预防骨水泥植入综合征及植入部位再次压力性损伤,同时做好骨水泥取出术后的护理及出院指导。经过精心治疗和护理,患者骶尾部创面逐渐缩小,骨水泥取出术后1个月骶尾部创面局部结痂,3个月后创面完全愈合。This study describes the postoperative nursing of an elderly diabetic patient with sacrococcygeal pressure injury using vancomycin bone cement.According to the conditions of the patient,vancomycin bone cement implantation was performed after sacral coccygeal debridement.During this process,wound care,blood sugar management and nutritional support were performed to prevent bone cement implantation syndrome and re-stress injury at the implant site.Moreover,postoperative care and discharge guidance were also provided.After careful treatment and nursing,the patient′s wound became gradually.One month after the bone cement removal,the sacrococcygeal wound was partially scabbed,and healed completely three months later.

关 键 词：骨水泥 抗生素 压力性损伤 高龄患者 糖尿病 护理 

分 类 号：R473.5[医药卫生—护理学]