文献简介

出版社:Clinics in Dermatology

作  者:Caren Campbell, Lawrence Charles Parish,

编  号:10.1016/j.clindermatol.2010.03.010

关键字:

年  份:2010   点击量:711

文献摘要

Abstract

Defining the decubitus ulcer proves as difficult as agreeing on a name for the condition. Causes include pressure over bony prominences, shearing force, destruction of skin, and compromised blood flow. Evidence is emerging of the importance of ischemia as a primary causative agent, rather than pressure, which needs further investigation. Scales, staging, and treatment and prevention guidelines should be used with caution due to their arbitrary implementation and lack of evidence-based support. Unfortunately, much of the research and expert opinion developed by the government and touted as regulation lacks appropriate strength-of-evidence. Although decubitus ulcers should be prevented and treated to the best of our abilities, recognizing the possibility that the skin, like any other organ in the body, may fail is crucial.

摘要
和对这种情况的命名达成一致一样,定义褥疮被证明是非常困难的。引起褥疮的原因包括骨突部位受压、剪切力、皮肤毁坏、血液流动受阻。越来越多的证据表明局部缺血是该疾病的主要致病因子,而非压力,但这还需要进一步的调查研究。量表、分期、治疗及预防指南应小心使用,因为它们是武断进行实施的,并且缺乏证据支持。不幸的是,由政府制定和专家吹捧发展而来的大部分研究和专家意见作为管理规则缺乏合适的强有力证据。虽然褥疮溃疡应该进行预防并且尽我们的力量进行治疗,但是意识到皮肤就像身体的其他器官一样,可能衰退这一点是至关重要的。