当前位置：首页>PPT>【专科护理】压力性损伤的预防及护理PPT|损伤分期判定、分层护理、创面护理、全程防控

【专科护理】压力性损伤的预防及护理PPT|损伤分期判定、分层护理、创面护理、全程防控

  • 2026-06-21 04:43:54
【专科护理】压力性损伤的预防及护理PPT|损伤分期判定、分层护理、创面护理、全程防控
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压力性损伤的预防及护理
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01压力性损伤概述
压力性损伤，是指压力或压力联合剪切力，造成皮肤及深部组织局部损伤，本病症主要好发于骨突及受压部位，常见位置有枕部、肩胛部、肘部、骶尾部、髋部、足跟。
长期受压，摩擦力，剪切力，潮湿刺激，是引发损伤的主要力学相关因素。
该病症会增加感染风险，延长住院时长，加重患者痛苦，同时提升医疗及护理成本。
02形成机制与临床分期
当身体局部组织长期受压，就会造成血液循环障碍，从而引发组织缺血缺氧，最终形成损伤，并且压力越大，受压时间越长，组织损伤程度也就越重。
在临床上，损伤程度根据皮肤所呈现出的不同表现，可分为4期。
①1期，皮肤完整，局部呈红，紫红或暗红色，按压颜色不消退。
②2期，表皮或真皮部分缺损，可见水疱或浅表皮肤破损。
③3期，全层皮肤缺损，创面可见脂肪组织，可伴随渗液。
④4期，全层皮肤及组织缺损，损伤可累及肌肉，肌腱，骨骼，感染风险较高。
03危险因素与风险评估
在临床上，可采用Braden、Norton、Waterlow等评分表，来开展风险评估，一般子啊患者入院的24小时内就应完成首次评估，后续则是至少每周评估1次，但若遇到患者病情变化时，则需即刻评估。
另在危险因素方面，可为分2大类，即内源性和外源性。
①内源性
主要是包括高龄、活动受限、感觉障碍、糖尿病、营养不良、贫血及低白蛋白血症。
②外源性
则包括压力、摩擦力、剪切力、皮肤潮湿、床单位不平整、医疗器械压迫。
#压力性损伤 #压疮护理 #压疮预防 #临床护理 #护理知识 #护士日常 #护理培训 #基础护理 #伤口护理 #创面护理 #老年护理 #卧床患者护理 #护理干货 #医护学习 #护理查房 #伤口愈合 #压疮分期 #护理专业 #临床实操 #健康宣教 #护理技能 #慢病护理 #皮肤护理 #医院护理 #医护日常 #护理学习笔记 #防压疮 #卧床护理 #护理科普 #临床知识
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  1. CONNECT:[ UseTime:0.000876s ] mysql:host=127.0.0.1;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001374s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000644s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000781s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001377s ]
  6. SELECT * FROM `set` [ RunTime:0.002572s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001584s ]
  8. SELECT * FROM `article` WHERE `id` = 534180 LIMIT 1 [ RunTime:0.007679s ]
  9. UPDATE `article` SET `lasttime` = 1782394390 WHERE `id` = 534180 [ RunTime:0.010761s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.000753s ]
  11. SELECT * FROM `article` WHERE `id` < 534180 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.005075s ]
  12. SELECT * FROM `article` WHERE `id` > 534180 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.002291s ]
  13. SELECT * FROM `article` WHERE `id` < 534180 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.016039s ]
  14. SELECT * FROM `article` WHERE `id` < 534180 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.036454s ]
  15. SELECT * FROM `article` WHERE `id` < 534180 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.009970s ]
0.269741s