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척수손상 후 욕창의 예방과 치료

Prevention and treatment of pressure sore following spinal cord injury

대한의사협회지 2020년 63권 10호 p.623 ~ 632
김명옥,
소속 상세정보
김명옥 ( Kim Myeong-Ok ) - Inha University School of Medicine Department of Physical & Rehabilitation Medicine

Abstract


Pressure sores or pressure injury is a serious complication of a spinal cord injury (SCI), representing a challenging problem for patients, their caregivers, and their physicians. Persons with SCI are vulnerable to pressure sores throughout their life. Pressure sores can potentially interfere with the physical, psychosocial, and overall quality of life. Outcomes directly depend on education and prevention along with conservative and surgical management. Therefore, it is very important to understand everything about pressure sores following SCI. This review covers epidemiology, cost, pathophysiology, risk factors, staging, evaluation tools, prevention, education, conservative wound care methods, surgical treatment, and future trends in wound healing related to post-SCI pressure sores. A change in nomenclature was adopted by the National Pressure Ulcer Advisory Panel in 2016, replacing “pressure ulcer”with “pressure injury.” New concepts of pressure injury staging, such as suspected deep tissue injuries and unstageable pressure injuries, were also introduced. A systematic evidence-based review of the prevention of and therapeutic interventions for pressure sores was also discussed.

키워드

Spinal cord injury; Pressure ulcer; Prevention; Treatment

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