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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]. 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]. 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
[1]
郝岱峰,李涛,冯光,等. 改良封闭式负压联合推进皮瓣修复髋部皮肤深度压疮[J/CD]. 中华损伤与修复杂志(电子版), 2013, 8(6):32-34, 38.
[2]
金新源,谢尔凡. 压疮的评估、预防和治疗研究进展[J/CD]. 中华损伤与修复杂志(电子版), 2014, 9(2):189-194.
[3]
Artico M, Dante A, D′Angelo D, et al. Prevalence, incidence and associated factors of pressure ulcers in home palliative care patients: A retrospective chart review[J]. Palliat Med, 2018, 32(1):299-307.
[4]
Mitchell SL, Teno JM, Kiely DK, et al. The clinical course of advanced dementia[J]. N Engl J Med, 2009, 361(16):1529-1538.
[5]
Cushing CA, Phillips LG. Evidence-based medicine: pressure sores[J]. Plast Reconstr Surg, 2013, 132(6):1720-1732.
[6]
Stevenson R, Collinson M, Henderson V, et al. The prevalence of pressure ulcers in community settings: an observational study[J]. Int J Nurs Stud, 2013, 50(11):1550-1557.
[7]
郭梦,班悦,孙千惠,等. 中国人口老龄化与疾病的经济负担[J]. 医学与哲学,2015, 36(7):32-34.
[8]
Jiang Q, Li X, Qu X, et al. The incidence, risk factors and characteristics of pressure ulcers in hospitalized patients in China[J]. Int J Clin Exp Pathol, 2014, 7(5):2587-2594.
[9]
Vélez-Díaz-Pallarés M, Lozano-Montoya I, Abraha I, et al. Nonpharmacologic Interventions to Heal Pressure Ulcers in Older Patients: An Overview of Systematic Reviews (The SENATOR-ONTOP Series)[J]. J Am Med Dir Assoc, 2015, 16(6):448-469.
[10]
Bennett G, Dealey C, Posnett J. The cost of pressure ulcers in the UK[J]. Age Ageing, 2004, 33(3):230-235.
[11]
European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Treatment of pressure ulcers: Quick Reference Guide[R]. Washington DC: National Pressure Ulcer Advisory Panel, 2009.
[12]
National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance.Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Emily Haesler (Ed.)[R]. Cambridge Media: Osborne Park, Western Australia, 2014.
[13]
National Pressure Ulcer Advisory Panel. Consensus conference on pressure ulcer staging[R]. Chicago, Illinois, 2016.
[14]
Schank JE. The NPUAP Meeting - This was No Consensus Conference[J]. J Am Coll Clin Wound Spec, 2016, 7(1/3):19-24.
[15]
郝岱峰,柴家科. 压疮诊疗新进展与实践[M]. 北京:人民军医出版社,2013: 19.
[16]
郝岱峰,褚万立,段红杰. 褥疮的防治常识[M]. 北京:金盾出版社,2016: 47.
[17]
Gefen A. How do microclimate factors affect the risk for superficial pressure ulcers: a mathematical modeling study[J]. J Tissue Viability, 2011, 20(3):81-88.
[18]
Yoshimura M, Nakagami G, Iizaka S, et al. Microclimate is an independent risk factor for the development of intraoperatively acquired pressure ulcers in the park-bench position: A prospective observational study[J]. Wound Repair Regen, 2015, 23(6):939-947.
[19]
Leaper DJ, Schultz G, Carville K, et al. Extending the TIME concept: what have we learned in the past 10 years?[J]. Int Wound J, 2012, 9 Suppl 2:1-19.
[20]
Barakat-Johnson M, Barnett C, Wand T, et al. Medical device-related pressure injuries: An exploratory descriptive study in an acute tertiary hospital in Australia[J]. J Tissue Viability, 2017, 26(4):246-253.
[21]
Delmore BA, Ayello EA. CE: Pressure Injuries Caused by Medical Devices and Other Objects: A Clinical Update[J]. Am J Nurs, 2017, 117(12):36-45.
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