低位截瘫患者难愈性压疮的康复护理

The rehabilitation nursing for refractory pressure sore in patients with low position paraplegia

目的探讨早期的康复介入在低位截瘫患者难愈性压疮治疗中的作用和成效。方法对15例低位截瘫患者压疮创面予改良封闭式负压引流技术处理的同时予康复介入，进行肢体功能锻炼、膀胱功能训练、肠道功能训练，增强患者心理社会的调适能力。结果15例低位截瘫患者的难愈性压疮全部治愈，半年回访无再发压疮。结论早期的康复介入可以提高截瘫患者的生活自理能力，提高患者的个人皮肤照顾能力，加快截瘫患者压疮的愈合速度，减少压疮的再发。

Objective To investigate the function and effect of early rehabilitation for patients with low position paraplegia and refractory pressure sore. Methods 15 patients with low position paraplegia and refractory pressure sores were given modified vacuumassisted closure treatment, at the same time, rehabilitation and intervention for functional training of limbs, bladder, intestinal was carried out to enhance capacity of psychosocial adjustment in patients. Results 15 cases of paraplegia patients with refractory low pressure sores were all cured, no pressure sores relapsed at follow-up visit six months later. Conclusions Early intervention can improve the rehabilitation of self-care capabilities, improve patients＇ individual skin- care ability, speed up the healing of pressure sores in patients with paraplegia, so as to reduce pressure sore recurrence.