中华护理杂志
中華護理雜誌
중화호리잡지
CHINESE JOURNAL OF NURSING
2010年
5期
418-420
,共3页
红斑狼疮,系统性%湿性疗法%伤口感染%护理
紅斑狼瘡,繫統性%濕性療法%傷口感染%護理
홍반랑창,계통성%습성요법%상구감염%호리
Lupus Erythematosus,Systemic%Moist therapy%Wound Infection%Nursing Care
总结了1例系统性红斑狼疮(SLE)并发带状疱疹后创面感染的护理.针对患者SLE病程长,且长期服用类固醇皮质激素或免疫抑制刺者导致身体抵抗力差,伤口面积大,感染严重,难愈合等特点,在湿润环境愈合理论的指导下,采取了湿性疗法,选用清创胶和银离子敷料、渗液吸收贴等处理创面,遵医嘱全身使用抗生素和抗红斑狼疮药物的治疗,做好患者心理护理、健康教育,使创面得到连续有效的处理和护理,加快了愈合速度.
總結瞭1例繫統性紅斑狼瘡(SLE)併髮帶狀皰疹後創麵感染的護理.針對患者SLE病程長,且長期服用類固醇皮質激素或免疫抑製刺者導緻身體牴抗力差,傷口麵積大,感染嚴重,難愈閤等特點,在濕潤環境愈閤理論的指導下,採取瞭濕性療法,選用清創膠和銀離子敷料、滲液吸收貼等處理創麵,遵醫囑全身使用抗生素和抗紅斑狼瘡藥物的治療,做好患者心理護理、健康教育,使創麵得到連續有效的處理和護理,加快瞭愈閤速度.
총결료1례계통성홍반랑창(SLE)병발대상포진후창면감염적호리.침대환자SLE병정장,차장기복용류고순피질격소혹면역억제자자도치신체저항력차,상구면적대,감염엄중,난유합등특점,재습윤배경유합이론적지도하,채취료습성요법,선용청창효화은리자부료、삼액흡수첩등처리창면,준의촉전신사용항생소화항홍반랑창약물적치료,주호환자심리호리、건강교육,사창면득도련속유효적처리화호리,가쾌료유합속도.
This paper summarizes nursing care of a patient with wound infection following systemic lupus erythematosus (SLE) accompanied by herpes zoster. Aimed at the patient's characteristics of long-term disease course of SLE,weak immune system caused by long-term use of glucocorticoid and immunosuppressant,big wound area with severe infection,and hard healing,moist therapy was implemented under the theoretical guidance of moist healing environment. The Purilon Gel and Biatain-Ag Foam dressing were applied in the wound combined with systemic use of antibiotics and treatment of SLE. At the same time,psychological nursing and health education were provided for the patient. These measures speeded up the wound healing.