系统性红斑狼疮并发带状疱疹后创面感染的护理

Nursing care of a patient with wound infection following systemic lupus erythematosus accompanied by herpes zoster

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剂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。

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 BiatainAg 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.