Choices for treatment of pressure sores in different parts of buttocks / 中华显微外科杂志

Objective:To explore the treatment of pressure sores in different parts of the buttocks.Methods:From May, 2005 to March, 2020, 170 (157 patients) pressure sores in different parts of buttocks were treated. Eighty-two pressure sores located at sacrococcyx, 52 at ischial tuberosity, 24 at greater trochanter (without hip joint exposure) and 12 at femoral greater trochanter with exposure of the hip joint. Flaps were used to repair the pressure sores. ①Seventy-one sacrococcygeal pressure sores were repaired by the gluteal epithelial neurovascular flap; ②10 (10 patients) sacrococcygeal and 42 (36 patients) sciatic tubercle pressure sores were repaired by the posterior femoral neurovascular flap; ③24(24 patients) femoral trochanter pressure sores and 1(1 patient) sacrococcygeal pressure sore were repaired by the tensor fascia lata myocutaneous flap; ④2 (2 patients) sciatic tubercle pressure sores were repaired by the gracilis myocutaneous flap; ⑤12 (10 patients) femoral trochanter pressure sores were with hip joint exposure treated with hip joint amputation; ⑥8 (8 patients) pressure sores at ischial tuberosity were treated with VSD. The pressure sores were measured at 5.0 cm×8.0 cm-15.0 cm×30.0 cm, and the flaps were sized 10.0 cm×12.0 cm-17.0 cm×32.0 cm. The follow-up was conducted in 2 methods: visit of outpatient clinic by patients and WeChat distanced interview by medical staff.Results:The gluteal epithelial neurovascular flaps, tensor fasciae lata flaps, gracilis myocutaneous flaps and posterior femoral neurovascular flaps all survived; 4 of 10 posterior femoral neurovascular flaps had partial necrosis and healed after dressing change. A total of 139 patients were treated by flap repair, of which 136 pressure sores healed, except 1 sacrococcygeal pressure sore and 1 femoral greater trochanter pressure sore did not heal because the patient was in old age, long-term hypoproteinaemia and anaemia, and 1 ischial tubercle pressure sore failed to heal due to osteomyelitis osteomyelitis. Ten pressure sores at femoral greater trochanter decubitus with hip joint exposure treated by hip joint amputation and 8 pressure sores at ischial tubercle decubitus treated by simple insertion of VSD were all healed. The follow-up period was 0.5-15.0 years, 7.5 years in average. The results of follow-up showed that pressure sores healed without recurrence in 154 patients, but failed to heal in 3 patients.Conclusion:The gluteal epithelial neurotrophic vascular flap has reliable blood supply and is simple to harvest, and it is a good flap to repair sacrococcygeal pressure sores. The tensor fascia lata myocutaneous flap has reliable blood supply and is simple to harvest, hence it is a good flap to repair greater trochanteric pressure sores. Transposition of the posterior femoral cutaneous nerve nutrient vessel flap or the V-Y advancement flap is simple and effective in repair of the sciatic tuberosity pressure sores. However, it is not recommended to apply the transposition of posterior femoral cutaneous nerve nutrient vessel flap in repair of the sacrococcygobtaineal pressure sore, because it would cause a necrosis at the distal part of the flap. When a greater trochanteric pressure sore coexists with an expose of hip joint, the hip joint can be dissected. For the pressure sore at ischial tuberosity, and if there is a small wound with a large internal cavity, it can be treated with simple insertion of VSD.

Kickstand extended external fixation for prevention of pressure sores and swelling in the post-traumatic lower extremity / 中华创伤骨科杂志

The Kickstand technique is an extension added to the basic frame of modern external fixation to elevate an affected extremity. It is an affordable and modified external fixation in orthopedic trauma. Orthopedic physicians use this technique to prevent formation of pressure sores and relieve swelling in lower extremity of patients who require prolonged bed rest, because this technique makes the heel apart from the supporting surface and promotes circulation of venous blood lymph fluid. This paper briefly introduces the development of this technique and its efforts to improve quality of care and solve a clinical problem. To relieve the burden of healthcare for pressure sores and swelling in an affected lower extremity after surgery, this technique should be popularized.

Kickstand extended external fixation for prevention of pressure sores and swelling in the post-traumatic lower extremity / 中华创伤骨科杂志

The Kickstand technique is an extension added to the basic frame of modem external fixation to elevate an affected extremity.It is an affordable and modified external fixation in orthopedic trauma.Orthopedic physicians use this technique to prevent formation of pressure sores and relieve swelling in lower extremity of patients who require prolonged bed rest,because this technique makes the heel apart from the supporting surface and promotes circulation of venous blood lymph fluid.This paper briefly introduces the development of this technique and its efforts to improve quality of care and solve a clinical problem.To relieve the burden of healthcare for pressure sores and swelling in an affected lower extremity after surgery,this technique should be popularized.

A nomogram prediction of pressure sores in patients underwent fracture surgery / 中国实用护理杂志

Objective To analyze the risk factors of pressure sores in patients underwent fracture surgery to establish a nomogram model to predict the risk of pressure sores. Methods From June 2012 to June 2017,3 796 patients underwent fracture surgery were enrolled in this study.Their clinical data were analyzed and univariate analysis was used to determine the risk factors related to pressure sores. The significant variables were included in the multivariate Logistic regression analysis to analyze the risk factors of pressure sores. Then the R software was used to establish a predictive nomogram model. Bootstrap method was used to validate the nomogram model and ROC curve was used to explore the predictive efficacy of the model in predicting the pressure sores. Results A total of 392 cases out of 3 796 cases of fracture surgery had pressure sores.The prevalence rate was 10.33%(392/3 796).Age(OR=3.56,95% CI 1.84-5.21),obesity(OR=2.25,95% CI 1.27-3.69),malnutrition(OR=3.91,95% CI 1.90-5.87), diabetes mellitus (OR=2.73,95% CI 1.50-4.32), and surgery time over 2.5 h (OR=5.14,95% CI 2.81-7.25) were all independent risk factors for pressure sores in fracture surgery (P<0.05). The nomogram model showed a C-index of 0.749 with good discrimination and accuracy,while ROC curve showed that the area under the curve for the nomogram model predicting pressure sores was 0.727 (95% CI 0.661-0.815). Conclusions The nomogram built based on age, obesity, malnutrition, diabetes mellitus, and surgery time over 2.5 h has good discrimination and accuracy which could be helpful for screening the patients with high risk and making the interventional strategies.

Preventive effect of nursing risk management on pressure sores instroke patients / 现代临床护理

Objective To study the role of nursing risk management in prevention of pressure sores in stroke patients. Methods From January 2016 to December 2016,1,334 stroke patients from the third section,department of neurology of our hospital were assigned as the observation group,where the nursing risk management was applied and meanwhile,another 1,295 stroke patients from the second section of the same department as the control group, where only routine nursing was applied. The two groups were compared in terms of incidence rate and treatment outcome of pressure ulcers.Result The incidence rate of new pressure ulcer and of the observation group was significantly lower than that of the control group (all P＜0.05).Conclusion The nursing risk management in the pressure ulcer prevention for stroke patients significantly reduces the incidence rate of pressure ulcers and improves the cure rate.

Clinical observation of the prevention of pressure ulcers in malignant tumor patients with forced position by Resina Draconis / 中国基层医药

Objective To explore the precaution efficacy of Resina Draconis for pressure ulcers in malignant tumor patients with forced position.Methods According to digital table method,168 malignant tumor patients with forced position were randomly divided into observation group and control group.Furthermore,the control group accepted the basic nursing,the observation group accepted the basic nursing and the Resina Draconis packed in bone-like parts.Afterwards,the patients' local skins were observed at intervals,and the incidence rates of pressure sores were compared between the two groups.Results The incidence rate of pressure ulcers of the observation group was 3.57％,which of the control group was 11.90％,the difference between the two groups was statistically significant (x2 =4.085,P =0.043).Conclusion Application of Resina Draconis can prevent pressure sores in malignant tumor patients with forced position.

Influencia de la calidad de atención de enfermería en la prevención de úlceras por presión en una institución hospitalaria de tercer nivel / Influence of the quality of nursing care on the prevention of pressure ulcers in a tertiary hospital institution

Introducción. La salud en cuanto a calidad de vida es entendida como un derecho universal de las personas, así como, el acceso y la calidad de acciones y servicios de salud. La atención de enfermería forma parte de ese derecho, y así debe ser también garantizado de forma calificada para toda la población. Constituye un referente esencial para la calidad de atención en salud. La Comisión Permanente de Enfermería, en coordinación con la Dirección de Enfermería de la Dirección General de Calidad y Educación, determinaron incluir indicadores de calidad con el propósito de evitar riesgos y daños innecesarios al paciente, entre ellos se encuentra el de prevención de úlceras por presión en pacientes hospitalizados, propósito de este trabajo y que guarda directa relación con la calidad de cuidados de enfermería proporcionados. Metodología. Investigación cuantitativa, comparativa, transversal y observacional en el Instituto Nacional de Pediatría. Muestra de 75 enfermeras de las áreas críticas de los 3 turnos (Urgencias Hospitalización, Terapia Intensiva, Cirugía Cardiovascular y Neonatología) lo que representa el 18.65% del total de la población. L os datos fueron procesados en el paquete estadístico SPSS v.20. Resultados: 56% del personal se encuentra en el nivel de NO cumplimiento del indicador de calidad de prevención y tratamiento de úlceras por presión (UPP), el 56% de los sujetos tienen a su cuidado más de dos pacientes (IEP) por turno. El 40% de ellos tienen al menos 11 años de antigüedad en servicio. No existen diferencias significativas por turno en el nivel de cumplimiento, sin embargo por servicio, es el Servicio de Urgencias el que tiene mayor índice de No cumplimiento tanto en la prevención como en el Tratamiento y son las mismas enfermeras que en una cédula de autoevaluación se valoran con índice de No cumplimiento particularmente en lo relativo a la disponibilidad de recursos materiales para poder cumplir tanto en las medidas preventivas como las de tratamiento. Conclusiones. Es imprescindible que los Comités de Calidad, de Infecciones Nosocomiales, de Heridas y Estomas realicen controles mas estrechos y mediciones de los indicadores en que se implique a todo el personal a cargo, pero además, se incluya al personal Supervisor y Jefes de las distintas áreas para que los recursos materiales fluyan y se operativicen en forma real los indicadores.

Introduction. Health in quality of life is understood as a universal right of people,as well as access and quality of health actions and services. Nursing care is part ofthat right, and so must also be guaranteed in a qualified way for the entirepopulation. It is an essential reference for quality health care. The StandingCommittee of Nursing, in coordination with the Department of Nursing of theDirectorate General of Quality and Education, determined include quality indicatorsin order to avoid unnecessary risks and harm to the patient; among them is theprevention of pressure ulcers in hospitalized patients, purpose of this work and thatis directly related to the quality of nursing care provided. Methodology. Quantitative, comparative, transversal and observational research at the National Institute of Pediatrics. Sample of 75 nurses critical areas of the 3 shifts (EmergencyHospitalization, Intensive Care, Cardiovascular Surgery and Neonatology)representing 18.65% of the total population. The data were processed in the SPSSstatistical package v.20. Results.56% of staff at the level of non -compliance qualityindicator prevention and treatment of pressure ulcers (UPP), 56% of subjects arecaring for more than two patients (IEP) per shift. 40% of them have at least 11 yearsold in service. There are no significant differences per shift in the level ofcompliance, however service is the emergency department which has the highestrate of non -compliance in both the prevention and the treatment and are the samenurses in a certificate of self -assessment No index value with compliance particularly with regard to the availability of material resources to fulfill preventive measures such as treatment. Conclusions. It is imperative that the Committees Quality Nosocomial infections or Wound and Ostomy made tighter controls and measurements of indicators that all staff become involved in charge, but in additionto supervisory staff and heads included for resources materials flow andoperationalize indicators realistically.

Application of Skin Care Record List of Operation Patients in Skin Rehabilitation / 中国康复理论与实践

Objective To apply Skin Care Record List of Operation Patients in skin rehabilitation after surgery. Methods From January to June, 2015, 2438 patients of scheduled operation were chosen as control. Conventional skin care was performed in the control group. Op-eration nurses checked and recorded skin pressure sores and skin integrity together with operation surgeons, who told these to ward nurses. From July to December, 2015, 2358 patients of scheduled operation were chosen as intervention group. The intervention group were also ap-plied self-designed Skin Care Record List of Operation Patients, which included patients' basic information, operative skin pressure area, the recorded location and size of pressure of fade of postoperative patients skin, and postoperative follow-up of operation nurses. Perioperative skin safety was managed by both operation nurse and ward nurse. Results There were 23 patients with pressure sores in the control group and 6 in the intervention group within 6 days after operation (χ2=9.471, P=0.002). Conclusion The application of Skin Care Record List of Operation Patients could effectively reduce the rate of operating pressure sores.

Study on reducing the reoccurrence of pressure sores on high-risk elderly patients by continuing nursing intervention / 中国实用护理杂志

Objective To investigate the effect of continuing nursing on elderly patients with high risk of pressure sores. Methods High-risk elderly patients with pressure sores healed in our hospital in January 2014 to December 2014 were divided into control group and observation group with 130 cases in each group by random number table. The control group received routine follow-up service, while the observation group were intervened by continuing nursing care. To observe the differences before and after the interventions in both groups on the patient's quality of life and the incidence of pressure sores. Results There was statistically significance on mental function scores (t=12.393, P=0.000), social function score (t=8.459, P=0.000) and overall quality of life score (t=12.750, P=0.000) between the two groups after the interventions. Meanwhile, there was no statistically significance on material life score (t =-1.913, P=0.057) and physical function score (t=-0.328, P=0.744). The difference of the re-occurrence of pressure sores in the two groups was statistically significant (χ2=35.96, P=0.000), either. Conclusions Continuing nursing intervention can obviously reduce the risk the re-occurrence of pressure sores on high-risk elderly patients, in particular to improve the quality of life aspects of mental function and social function in patients, meanwhile with no obvious improvement in that of material life and body functions.

Nursing of children patients with cochlear implantation for prevention of frontal pressure sores / 中国实用护理杂志

Objective To discuss nursing ways to prevent frontal pressure sores for children after cochlear implantation.Methods A total of 267 cases with sensorineural deafness were selected and divided into the control group (admitted from December 2012 to July 2013,115 cases) and the observation group (admitted from August 2013 to March 2014,152 cases) randomly.Skin preparation was done routinely,general nutritional condition and frontal skin condition were evaluated before operation.The control group used conventional elastic bandage after surgery.The observation group used Allevyn Thin foam dressing to cover the forehead skin before pressure dressing by elastic bandage.The incidence of frontal pressure sores was compared between two groups.Results Two cases occurred frontal pressure sores in the observation group and 31 cases in the control group,x2=39.736,P ＜ 0.01.Patients in the control group with pressure sore focused within 1-2 years old,totally 18 cases.Conclusions Nurses should attach great importance to younger children with cochlear implantation to prevent pressure sores.Nursing staff should keep update knowledge of prevention and treatment of pres-sure ulcers,accurately assess skin conditions and risk factors in patients and adopt precautions predictably.

Uso del método autolítico seco en el manejo de las úlceras de presión en pacientes adultos mayores / Using dry autolytic method in managing pressure ulcers in elderly patients

Introducción. La úlcera de presión (UP) es una patología común de observar y afecta mayormente a pacientes adultos mayores (PAM) postrados y pacientes con secuelas neurológicas. En la atención domiciliaria del PAM por el Padomi de Essalud, las denominadas UP se encuentran dentro de las patologías mßs frecuentes. Objetivo. El presente estudio busca evaluar la eficacia del método autolítico seco (MAS) en el tratamiento de las UP. Material y Método. El presente es un estudio prospectivo de tipo ensayo clínico aleatorizado a simple ciego. La muestra son PAM postrados con diagnóstico de UP, atendidos por el Padomi de Essalud entre los a±os 2008 y 2012. Ambos tratamientos han sido evaluados con base en el tiempo de cicatrización de las lesiones. Resultados. Dos grupos de 50 PAM cada uno, con 123 y 112 UP, respectivamente, han sido tratados por un equipo interdisciplinario del Padomi de Essalud entre los a±os 2008 y 2012. El estudio encontró diferencias estadísticamente significativas a favor del MAS en las lesiones tratadas localizadas a nivel trocantéreo (p = 0,04). Conclusiones. Los resultados obtenidos con ambos métodos utilizados varían de acuerdo con la localización anatómica de la lesión. El uso del método autolítico seco ha demostrado ser mßs eficaz (menor tiempo de cicatrización) que el método convencional en el tratamiento de las úlceras de presión localizadas en la región trocantérea.

background. The pressure sore is a common disease and affects mainly elderly people and patients with neurological sequels. In the domiciliary medical attention of the elderly patient made by Padomi from Essalud, the pressure sores are one of the most common pathologies. Objective. This study aimed to evaluate the effectiveness of dry autolytic method in the treatment of pressure ulcers. Methods. This is a prospective randomized simple-blind clinical trial study. The sample is composed by elderly patients with diagnostic of pressure sore, attended by Padomi from Essalud between 2008 to 2012. Both treatments have been evaluated based in the time of healing of the lesions. results. Two groups of 50 patients with 123 and 112 pressure sores respectively have been treated by an interdisciplinary team from Padomi of Essalud between 2008 to 2012. This study have found statistical significant differences in favor of the dry autolytic method in the lesions located at the trochanter level (p = 0,04). Conclusions. The results obtained with the two methods vary according with the anatomical locali za -tion of the lesions. The use of the autolytic method have been demonstrated be more efficient (less time of healing) than conventional method in the treat ment of pressure sores located in the trochanter level.

Influence of nursing procedures on pressure sore during the operation on brain tumor / 现代临床护理

Objective To explore the effect of nursing procedure on pressure sore in patients with brain tumor.Methods The nursing procedures were used in the nursing of 86 brain tumor patients.The procedures included assessment of pressure ulcer risk factors and regulations of nursing objective and the measures for preventing pressure ulcer.Result None of the patients contracted pressure ulcer during operation.Conclusion The nursing procedures for brain tumor patients can enable the nurses to plan nursing activities for specific purpose,avoid the occurrence of pressure sore and thus improve the quality of nursing.

Observation on Effect of Wet Union Principle on Saccharose Treating Pressure Sores / 浙江中医药大学学报

[Objective] To observe the clinical effect of applying wet union principle in saccharose treating pressure sores.[Method] Randomly divide 44 cas-es into treatment group 25 cases and control group 19 cases. Both groups were actively treated with primary diseases, the control one with hydrogen per-oxide, NS and traditional therapy of iodine; the treatment one added with saccharose applied on surface of sores; 1m as a course, after 1 course, compare their treatment results.[Results] In treatment group, the total effective rate, treating period and times al were al better than control group, the difference of the comparison had statistical meaning.[Conclusion] Adding saccharose to treat pressure sores can cure the sores surface more quickly and shorten the treat-ing period, is the ideal method for pressure sores.

The superior gluteal neurocutaneous flap transfer for sacrococcygeal pressure sores / 中华显微外科杂志

Objective To observe the clinical outcomes of the superior gluteal neurocutaneous flap for sacrococcygeal pressure sores. Methods Twelve cases with sacrococcygeal pressure sores were covered by the superior gluteal neurocutaneous flap from May 2005 to Nov. 2009. The sore size ranged from 15 cm ×30 cm to 5 cm × 8 cm, while the flap size ranged from 17 cm × 32 cm to 10 cm× 12 cm. Results All 12 flaps survived totally with the pressure sores healed. The longest follow-up time was four years, the short follow-up time was half a year, the average time was 2.5 years. The superior gluteal neurocutaneous flap was good blood circulation, pressure sores not recur. Conclusion The superior gluteal neurocutaneous flap is a good treatment for sacrococcygeal pressure sores for its reliable blood supply and simple harvesting.

Study of a suitable turn over nursing program for preventing pressure sores in stroke patients / 中国实用护理杂志

Objective To observe the preventing effect of optimal programs (improving turn over postures and elongating the turn over intervals)in preventing pressure sore occurrence in patients with acute stroke. Methods Acute stage stroke patients (time from on-set less than or equal to one week)were selected and divided randomly into 4 groups, one group adopted 2.0 hours turn over intervals as the routine group, others adopted 2.5 hours, 3.0 hours, 3.5 hours turn over intervals as the study groups. The incidence of pressure sores and complications were recorded. Results None of the groups (2.0 h, 2.5 h,3.0 h, 3.5 h)suffered from pressure sores. The incidence of complications including malnutrition, pulmonary infections and constipations was not increased in the study groups either. Conclusions Optimal turn over nursing programs including elongating turn over intervals to 2.5h, 3.0h, 3.5h and adopting 30 degree lateral posture can effectively prevent occurrence of pressure sores in acute stroke patients.

Pressure ulcers in the medical wards of RIPAS Hospital: Incidence and risk factors

Introduction: Pressure ulcers are very common, however their incidence varies widely between hospitals. To date there are no published data available for pressure ulcers in Brunei Darussalam. This study was designed to look at the incidence and risk factors of pressure ulcers among medical patients in RIPAS Hospital. Materials and Methods: All medical patients admitted to all five medical wards during the month of May 2010 were included and identified. A proforma based on the European Pressure Ulcer Advisory Panel (EPUAP) model was used and modified to include several factors that may contribute to the risk of developing new pressure ulcers. The proforma was completed by the attending physician during the patient's admission and then subsequently followed up by the parent admitting team until discharge. Results: There were a total of 305 patients (104 male and 201 female) with a mean age of 48.9 ± 20.4 years. There were five patients with pressure ulcers (1.6%), four of which developed during hospital stay and one patient admitted with an ongoing pressure ulcer. All five patients were female, had co-morbidities, were bed-bound and unwell during admission. On comparison to those without pressure ulcers, patients were significantly older, had more co-morbidities, being bed bound, admissions to intensive care unit and had lower serum haemoglobin (p<0.05), albumin (p<0.05) and total protein (p<0.05) on admission. Two patients died during their in-patient stay due to other medical illness. The remaining patients had prolonged hospital stay (over 30 days). Conclusions: The study showed an incidence of 1.6% pressure ulcers among medical patients in RIPAS Hospital. We identified several factors that are significant in increasing patients’ risk of developing pressure ulcers.

Influence of nursing intervention on cognition level for pressure sores and psychological state among accompany family members of patients with cerebral injury / 中国实用护理杂志

Objective To survey the influence of nursing intervention on cognition level for pressure sores and psychological state among accompany family members of patients with cerebral injury. Methods 123 accompany family members of patients with cerebral injury were selected and took part in the investigation about cognition level for pressure sores, besides, SDS and SAS were also adopted to evaluate their psychological state. Later nursing intervention was given to increase their cognition level for pressure sores, then another evaluation was carried out. Results before and after the intervention were compared. Results The accompany family members lacked knowledge of pressure sore, showed serious anxiety and depression for nursing pressure sore before intervention. But their cognition level for pressure sore improved and anxiety and depression lightened after intervention. Conclusions Nursing intervention is effective to alleviate cognition level for pressure sore and psychological state among accompany family members of patients with cerebral injury, which is worthy of clinical application.

Reconstruction of Trochanteric Pressure Sores using Perforator-based Flap from the Ascending Branch of Lateral Circumflex Femoral Artery

PURPOSE: Trochanteric pressure sores management has been improved through the development of musculocutaneous flaps. But it has many drawbacks such as donor site morbidity and functional muscle sacrifice. With the introduction of perforator flap, it is possible to use in every location where musculocutaneous perforators are present. We have reconstructed trochanteric pressure sores using perforator-based flaps from the ascending branch of lateral circumflex femoral artery. METHODS: Between May of 2006 and April of 2008, we performed six cases of perforator-based flap from the ascending branch of lateral circumflex femoral artery for the coverage of trochanteric pressure sores. For identifying perforators, a line was drawn from the anterior superior iliac spine to the superolateral border of the patella as the vertical axis, from the pubis to the trochanteric prominence as the horizontal axis. In the lateral aspect of the intersection of these two axes, various flap were designed according to its defects. The flap was raised in the subcutaneous plane above the fascia and the pedicle was traced by doppler and identified. The pedicle was meticulously dissected not to injure the periadventitial tissues and transposed to the defect. The donor site was closed primarily. RESULTS: The mean age of patients was 56.2 years. Four male and two female patients were studied. Five patients were paraplegic. The mean defect size was 6 x 4 cm. The largest flap dimension was 14 x 7 cm. Donor sites were closed primarily without any complications. All flaps survived completely without necrosis, hematoma or infection. There were no recurrence during the follow-up period. CONCLUSION: Trochanteric pressure sores using perforator-based flap from the ascending branch of lateral circumflex femoral artery can be performed safely and it would be a reliable option for coverage of trochanteric pressure sores with minimal donor site morbidity.

Nursing for Pressure Sores in Patients with Paraplegia Using Drainage Tube / 中国康复理论与实践

@#: Objective To explore the approaches for the pressure sores in patients with paraplegia using drainage tube. Methods 19 cases of pressure sore accepted continuous drainage after thorough debridement were reported. Results 18 cases cured, one infected in wound and dehisced partly, and cured after suture. They were followed up for 1～24 months, and none relapsed. Conclusion Strengthening the nursing of drainage tube can wash out necrotic material intralesion, which would improve the outcome.

The effect of alternative decompression body pad on the pressed skin of patients with spinal surgery / 中国实用护理杂志

Objective To investigate the effect of alternative decompression body pad in the intraopera-tive pressure sore prevention.Methods Using random sampling methods,100 cases of patients were collect-ed and divided into the experimental group and the control group with 50 cases in each group,the experimental group adopted self-designed alternative decompression body pad and the control group used common body pad.The skin red,and hurt situation in the main parts of compression were observed,the average pressure of the main parts of compression,such as forehead,chest, anterior superior iliac spine was measured by means of stress-based software DZX29 figure measuring instrument, the above data underwent comparison.Results Statistical differences existed in skin red,skin damage and the average pressure between the two groups.Conclusions The alternative decompression body pad can effectively reduce the partial pressure of the vertical principal stress,and having an active role in the prevention of intraoperative pressure sores.But the prevention of pressure sores will still need to take comprehensive nursing measures.