高强度聚焦超声治疗肿瘤致体位性损伤的原因分析及护理对策

Analysis on the Causes of Postural Injury During the Treatment of Tumor by High Intensity Focused Ultrasound and Nursing Care

目的探讨高强度聚焦超声治疗肿瘤致体位性损伤的预防措施。方法对 2 5例肿瘤病人行高强度聚焦超声治疗时发生的体位性损伤原因进行分析。结果治疗时肢体摆放的位置、吊带质量和宽度、吊带的固定等因素与损伤的发生有密切关系。结论治疗时减轻骨突部位软组织压力、改进吊带质量及固定方法、保持肢体功能位等措施 ,对减少体位不当所致的皮肤软组织压疮、神经损伤、血管受压。

Objective To investigate the measures for preventing the postural injury induced by high intensity focused ultrasound (HIFU) in the treatment of patients with tumor. Methods The causes of postural injury during the treatment of tumor by HIFU were analyzed. Results The posture of the extremities, quality and width of gallus and fixation of gallus during the treatment of HIFU was closely related with the postural injury. Conclusion To avoid pressure sore of skin and soft tissue induced by unfit posture, injury of nerve and local circulation clog caused by pressed vessels, it is thought highly that reducing soft tissue pressure of bone projection, holding functional place of extremity and improving quality of gallus and method of fixation might play important roles.