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中华损伤与修复杂志(电子版) ›› 2018, Vol. 13 ›› Issue (01) : 64 -68. doi: 10.3877/cma.j.issn.1673-9450.2018.01.014

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综述

美国国家压疮咨询委员会2016年压力性损伤的定义和分期解读
褚万立1, 郝岱峰1,()   
  1. 1. 100048 解放军总医院第一附属医院烧伤整形科三病区
  • 收稿日期:2017-12-30 出版日期:2018-02-01
  • 通信作者: 郝岱峰
  • 基金资助:
    国家自然科学基金青年基金项目(81601730); 全军后勤科研计划重点项目(BWS14J049); 解放军总医院临床科研扶持基金(三〇四专项)(2015FC-ZZCB-3041)

Interpretation of pressure injury′s definition and staging system of National Pressure Ulcer Advisory Panel in 2016

Wanli Chu1, Daifeng Hao1,()   

  1. 1. Department of Burns and Plastic Surgery, Third Ward, First Affiliated Hospital of People′s Liberation Army General Hospital, Beijing 100048, China
  • Received:2017-12-30 Published:2018-02-01
  • Corresponding author: Daifeng Hao
  • About author:
    Corresponding author: Hao Daifeng, Email:
引用本文:

褚万立, 郝岱峰. 美国国家压疮咨询委员会2016年压力性损伤的定义和分期解读[J/OL]. 中华损伤与修复杂志(电子版), 2018, 13(01): 64-68.

Wanli Chu, Daifeng Hao. Interpretation of pressure injury′s definition and staging system of National Pressure Ulcer Advisory Panel in 2016[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2018, 13(01): 64-68.

压疮是临床常见的慢性难愈性创面,由于其发病率和患病率较高,治疗周期长,治疗花费高,压疮的防治一直受到广泛关注。针对压疮,目前已经发布了两版国际性的指南,在2016年,美国国家压疮咨询委员会(NPUAP)对压疮的定义和分期重新做了更新,笔者在此做以简要阐述和解读。

Pressure ulcer is one of the common chronic refractory wounds and has received extensive attentions because of its high incidence and prevalence, long treatment interval and high cost. There are two editions of international guideline on pressure ulcer that have been published at present. National Pressure Ulcer Advisory Panel (NPUAP) released its new staging system on pressure ulcer in 2016, so in this paper, the authors make a brief interpretation about it.

图1 1期压力性损伤,皮肤出现指压不变白的红斑
图2 2期压力性损伤,部分皮层缺损伴真皮层外露
图3 3期压力性损伤,全层皮肤缺损
图4 4期压力性损伤,创面深达筋膜、肌肉、肌腱或骨组织
图5 不可分期的压力性损伤,损伤程度不明的全层皮肤和组织缺损
图6 深部组织压力性损伤,创面表现为持续指压不变白的深红色、栗色或紫色
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