CAJ | 학술논문

压疮是局部皮肤组织因长时间受压所致的皮肤或皮下组织溃烂和坏死。临床压疮的发生大多与患者高龄、长期卧床、多种慢性器质性疾病、机体抵抗力低下、血管炎性疾病、肢体活动不便，以及局部长期受压、血液循环差、潮湿不洁等因素有关。根据受损程度通常将压疮分为4期。临床需对患者压疮危险进行评估，最常用的为Braden计分法。预防压疮要在改善患者全身状况，治疗基础疾病的基础上，注意清洁，避免局部长期受压，及时发现可疑征象。一旦发生压疮，应采取局部减压、清理伤口、保持创面湿性愈合环境、应用新型伤口敷料以及局部药物外敷，及使用封闭式负压引流技术等措施，配合心理护理和护患沟通。
압창시국부피부조직인장시간수압소치적피부혹피하조직궤란화배사。림상압창적발생대다여환자고령、장기와상、다충만성기질성질병、궤체저항력저하、혈관염성질병、지체활동불편，이급국부장기수압、혈액순배차、조습불길등인소유관。근거수손정도통상장압창분위4기。림상수대환자압창위험진행평고，최상용적위Braden계분법。예방압창요재개선환자전신상황，치료기출질병적기출상，주의청길，피면국부장기수압，급시발현가의정상。일단발생압창，응채취국부감압、청리상구、보지창면습성유합배경、응용신형상구부료이급국부약물외부，급사용봉폐식부압인류기술등조시，배합심리호리화호환구통。
Pressure ulcer is a kind of cutaneous and subcutaneous exelcosis and necrosis as suffered long-term pressure. Pressure ulcer mainly related with age, long-term in bed, chronic diseases, lower resistibility, vasculitis and less activities, as well as long-term pressing, poor blood circulation and untidy body environment. Pressure ulcer can be classified into 4 stages with severity. The risk to pressure ulcer should be evaluated, mainly with Braden score. Prevention of pressure ulcer included keeping clean, avoiding long-term pressure and find-ing potential pressure ulcer as soon as possible, based on improving the system situation and dealing with original diseases. For the patients suffered from pressure ulcer, it was important to decompress, debride the wound, keep humidity, and apply some new dressing with external drugs and vacuum sealing draining (VSD) and good psychological nurse and communication.