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        压疮论文范文 压疮的治疗护理

        版权:原创标记本站原创 星级:★★★★★5.0主题:压疮护理范文 级别:标准职称论文 范畴:研究生学士论文 论文范文编号:biyelunwendq0299888 期刊发表:职称评副高 全文字数:2500字 投稿作者:zytmoe 审稿编辑:专家学者 阅读次数:8058

        关于免费压疮论文范文在这里免费下载与阅读,为您的压疮相关论文写作提供资料。

        压疮的治疗与护理【摘要】压疮是由于身体局部组织长期受压,血液循环障碍,局部组织持续缺血缺氧,营养缺乏,致使皮肤失去正常功能,而引起的组织破损和坏死。[1]压疮是临床护理工作中常见的一种并发症,压疮的发生与患者年龄、营养状况及所患疾病,局部皮肤清洁及创口处理,医疗环境舒适程度,尤其是护理质量有极大关系,这样不仅给病人增加痛苦,加重病情,延长病程,甚至可因继发感染而危及生命,影响护理质量。若溃疡久治不愈,也是发生医疗纠纷的隐患。因此,护理人员要做好日?;だ?,杜绝压疮的发生。

        压疮护理论文 压疮护理

        面部痤疮的治疗、护理预防

        气胸和液气胸应用持续负压吸引治疗的护理

        高血压患者治疗中实施社区护理的方法对疗效影响

        高血压左心室肥厚患者接受贝那普利治疗护理干预后的效果观察

        【关键词】压疮治疗护理

        1005-0019(2015)01-0039-01

        1临床资料2011年1月至2014年10月我科共有压疮病例36例,16例院外带入,难免压疮20例,反复发生6例,年龄38岁至94岁,骶尾部压疮22例,髋部压疮5例,足跟5,背部2例,其他部位4例,面积最小1cmx1cm面积,最大10cmx15cm.

        2压疮发生的理由(1)局部组织产长期受压,患者由于疾病理由不能或不愿意翻身,超过皮肤和皮下组织的耐受力而发生压疮。(2)患者自身因数,如高龄,昏迷、尿失禁、营养缺乏、长期卧床等不能自主翻身的重病患者,好发部位为经常受压的骨隆突出处,如肩胛骨突处、骶尾骨处、股骨大粗隆处、坐骨结节部、足跟或枕后部等。(3)皮肤受潮湿或排泄物的刺激,如汗液,尿液,引流液的的刺激,皮肤?;ちο陆刀评7⑸勾?。(4)引流管位置固定不变,如长期吸氧的患者鼻翼及耳后发生压疮。(5)石膏,夹板固定过紧,使肢体血液循环受阻导致压疮的发生。

        压疮的治疗护理毕业论文参考文献格式相关参考属性
        有关论文范文主题研究: 关于压疮论文范文资料 大学生适用: 3000字在职论文
        相关参考文献下载数量: 32 写作解决问题: 如何怎么撰写
        毕业论文开题报告: 文献综述、论文总结 职称论文适用: 技师论文、中级职称
        所属大学生专业类别: 压疮护理方向 论文题目推荐度: 最新压疮题目

        3压疮的治疗(1)全身治疗,积极治疗原发疾病,增加蛋白质,维生素和微量元素的摄入,必要时给予抗生素抗感染治疗。(2)1期压疮要去除理由,防止局部继续受压,增加翻身次数,?;てし?,局部皮肤用透明贴或者减压贴?;?。(3)2期压疮,有伤口的可用0.5%碘伏消毒伤口边缘至周围2cm,水凝胶封闭敷料封闭伤口,超过边缘2cm,隔日更换一次,一周后,3~5天更换一次;小水泡的要注意?;?,防止破裂,大水泡者可在无菌操作下抽出泡内液体后用水胶体敷料覆盖,根据情况还可以选择超声波治疗。(4)3期压疮清洗伤口,如是 伤口,先用双氧水和生理盐水冲洗,再用德湿威浸林格氏液湿敷,外用不透水的粘贴敷料封闭,使用后能使 伤口较快转为红色伤口;自溶清创,如是黑色伤口,先用双氧水,再用生理盐水,再用超薄水凝胶敷料封闭伤口24~48小时,待痂皮软化后自溶被清除出伤口后,再评估伤口,若是 伤口按 伤口处理,红色伤口按红色伤口处理。更换敷料时,观察创面有红色新鲜肉芽组织生长后,仅用生理盐水清洗后继续贴溃疡贴直至愈合;必要时做创面培养。(5)4期压疮,创面黑色有痂或 干性腐烂,应创造湿润环境,推动坏死组织软化、液化,去除坏死组织。创面坏死呈 腐烂,应选用外科清创术分次剪除坏死组织,然后用生理盐水冲洗伤口,敷料选用具有吸收伤口过多分泌物并能加速伤口愈合的痊愈妥加透明贴膜。创面呈红色伴有少量 腐肉,可用生理盐水清洗伤口,再用水凝胶清创,创面渗液少时选择保持伤口湿润的水胶体敷料,有感染症状的创面可选用银离子敷料,它可以持续有效的释放银离子,处理渗液,制约气味。(6)在病情允许的情况下,高压氧舱治疗,推动创面的愈合。

        4压疮的护理(1)正确评估,对通过评估为高危人群,特别是老年病人、神经系统损伤、脊髓损伤、不能转变体位者,应建立翻身卡,严格交接班。床头交接,检查患者局部皮肤情况,是否干燥清洁,有无水泡,床铺是否整洁,认真评估上一班护理效果。[2](2)应保持床单清洁,干燥,无渣屑,平整、无皱折,必要时使用气垫床,海绵垫,保持平紧、舒适。如是大、小便失禁的病人,特别要注意皮肤的?;ず痛驳サ母稍?,尽量减轻局部皮肤的刺激。应鼓励和协助卧床病人经常更换体位,一般每2~3h翻身1次,最长不超过4h,必要时每小时翻身1次。帮助翻身时不要拖、拉、推。(3)做好心里护理:针对病人的思想状况给予科学的解释引导,用安慰鼓励暗示等策略,帮助病人树立战胜疾病的信心,[3]心情舒畅有利于增加食欲,提高机体抵抗力,加快压疮的恢复。(4)补充足够的热量和微生素,根据病人的饮食习惯,鼓励病人多吃鸡、鱼、肉蛋、蔬菜、水果等。必要时输入脂肪乳剂、复方氨基酸、血浆、白蛋白等,提高血浆蛋白及胶体渗透压。不能进食者可用鼻饲法或静脉外营养。(4)病房要保持通风,清洁,用消毒水湿式拖地1~2次/d,空气消毒1/天,每次1小时。(5)加强压疮知识的教育、普及及压疮护理管理,让家属积极参与,共同做好压疮的预防治疗护理工作。

        压疮护理参考文献

        中西医结合治疗论文高血压脑出血的护理论文?;せ肪痴温畚?/a>?;せ肪痴涡÷畚?/a>环境?;ふ涡÷畚?/a>?;せ肪车恼温畚?/a>

        5护理体会压疮多见于病情危重,长期卧床,大小便失禁,肢体瘫痪,营养失调,代谢障碍等病人,因此治疗压疮的同时应加强全身支持疗法,注重全身营养。压疮病人身心都承受极大的痛苦,我们在护理工作中要树立强烈的责任

        2

        参考文献:

        [1]压疮的治疗护理体会

        [2]神经内科老年患者压疮的治疗护理体会

        [3]压疮的治疗护理

        总结

        大学压疮论文怎么写?该文是关于压疮护理参考文献论文范文,为你的论文写作提供相关论文资料参考,可作为不知如何写伤口和创面和敷料方面的大学硕士和本科毕业论文以及关于论文开题和相关职称论文作为参考文献资料.

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