营养和压疮:加速愈合过程的机会

Joanne Chan
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摘要

压疮通常是由骨突起和外表面之间的压缩导致的软组织局部破裂引起的,从而导致局部组织损伤[3]。一般来说,老年患者、营养不良患者、行动不便患者和感官感知不良患者患压疮的风险更大[3,5]。70-73%的压疮患者年龄在6岁以上,25.16%在香港养老院[3]。通常,压疮愈合不好,愈合不充分会增加患者对危及生命的感染的易感性,包括败血症和蜂窝组织炎[4-6]。此外,溃疡愈合不良会对合并症的临床预后产生负面影响。入住疗养院的压疮患者1年后的死亡率可能高达50%,而非压疮患者的死亡率为27%[1]。因此,治疗压疮的费用很高,在英国,根据溃疡的严重程度,每位患者的费用从958英镑到11606英镑不等[7]。大约90%的费用是护理增加的结果,包括患者监测和伤口敷料,但治疗感染的抗生素费用也有贡献[7]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nutrition and Pressure Ulcers: An Opportunity to Accelerate the Healing Process
Pressure ulcers are often caused by a local breakdown of soft tissue as a result of compression between a bony prominence and external surface causing localized tissue damage [3]. An ordinally, older patients, malnourished patients, patients with low mobility and patients with poor sensory perception are at greater risk of pressure ulcers [3,5]. 70-73% of those who develop pressure ulcers are over 6S years old and 25.16% in Hong Kong nursing homes [3]. Typically, pressure ulcers do not heal well, and inadequate healing increases a patient’s susceptibility to life threatening infections, including sepsis and cellulitis [4-6]. Additionally, poor ulcer healing negatively affects the clinical prognosis of comorbid conditions. Mortality rates in patients with pressure ulcers admitted to nursing homes can be as high as 50% after 1 year compared with 27% in patients without pressure ulcers [1]. Therefore, the cost of treating pressure ulcers is high, ranging from £958-£11,606 per patient in the United Kingdom, depending on ulcer severity [7]. Approximately 90% of this cost is a result of increased nursing care, which includes patient monitoring and wound dressing, but antibiotic Costs for treating infections also contribute [7].
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