1例多发性肌炎患者骶尾部不可分期压力性损伤的护理

Nursing Care of Non-stagable Sacrococcygeal Stress Injury in a Patient with Polymyositis

目的:总结1例多发性肌炎患者骶尾部不可分期压力性损伤的护理经验。方法:通过对患者创口进行临床评估,在积极治疗原发病的同时,采用清创换药、局部喷洒造口护肤粉与皮肤保护剂的方法,以保持创面干爽,减轻渗液对皮肤的刺激,应用金因肽溶液喷洒以促进肉芽组织生长。结果:经过综合处理,患者骶尾部的压力性损伤完全愈合,且身体其他部位未出现新的压力性损伤。结论:基于创口评估的全身综合治疗与护理策略,能有效促进不可分期压力性损伤的愈合,显著提高治愈率,为多发性肌炎患者的护理提供经验和参考。

Objective:To summarize the nursing experience of a case of polymyositis with non-stagable sacrococcygeal stress injury.Methods:Through the clinical evaluation of the patient's wound,while actively treating the primary disease,debridement and dressing change,local spraying ostomy skin care powder and skin protection agent were used to keep the wound dry and reduce the stimulation of the oozing fluid on the skin.Jinyin peptide solution was applied to promote granulation tissue growth.Results:After comprehensive treatment,the sacrococcygeal stress injury completely healed,and no new stress injury appeared in other parts of the body.Conclusion:The systemic comprehensive treatment and nursing strategy based on wound evaluation can effectively promote the healing of non-stage stress injury,significantly improve the cure rate,and provide experience and reference for the nursing of polymyositis patients.