卧床患者皮肤接触面压疮的预防护理

目的探讨卧床患者皮肤皱褶处及皮肤夹角接触面压疮的预防护理。方法选择100例急诊重症监护摩患者，按照信封法随机分为2组，各50例。对照组采用常规护理方法，每2小时协助患者更换体位，保持床单位清洁无渣屑，每日晨晚间对患者的皮肤褶皱处、肢体与躯干的连接夹角处的皮肤表面擦拭干净，使用减压设备；观察组在常规护理方法基础上采用无菌纱布隔开接触面皮肤受压部位，以减少患者皮肤皱褶、肢体与躯干连接夹角处的皮肤接触面静摩擦力、降低潮湿度的皮肤护理方法，比较2绀的压疮发生率。结果观察组50例患者l例发生压疮，发生率为2．0％，对照组50例患者18例发生压疮，发生率为36．0％，明显高于观察组，差异有统计学意义（P〈0．01）。结论这种减小皮肤铍褶处、肢体与躯十连接的夹角处皮肤之间静摩擦力的护理方法解决了临床长期未解决的患者皮肤皱褶处压疮皮肤护理难点，且具有很好的临床护理效果，成本低，操作简便。

Bedridden patients skin contact surface pressure ulcer preventive care

Objective To discuss the preventive care of the bed folds of skin and skin contact surface angle of pressure ulcers. Methods One hundred cases of emergency intensive care unit patients were randomly divided into two groups. Control group used conventional methods of care; observation group used sterile gauze to separate the skin contact surface pressure. The nursing method reduced the patient＇s skin folds, limbs and trunk connections and reduce the moisture level. Results In observation group, 1 case had pressure ulcers, but in control group 18 cases had pressure ulcers ; the difference was statistically significant （ P 〈0. 01 ）. Conclusion The skin care methods solve the difficulties of the clinical care of patients with folds of skin.