浅谈黏膜压力性损伤的影响因素及预防策略

王 钦贤, 王 志伟, 朱 娅婷
青海省第五人民医院 重症医学科

摘要


黏膜压力性损伤（Mucosal Membrane Pressure Injury,MMPI）是指发生在黏膜处的压力性损伤，且该部位有医疗器械使用史，属于医疗器械相关压力性损伤；MMPI造成患者疼痛，增加医疗费用，影响患者预后，可能引起医疗纠纷，MMPI发生部位较为隐匿，使用常规评估工具难以发现MMPI[1]。本文就MMPI的流行现状、影响因素及预防措施等研究进展作一总结。

关键词


黏膜压力性损伤；影响因素；预防策略

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参考


[1]Schank J E.The NPUAP Meeting-This was No Consensus Conference [J].J Am Coll Clin Wound Spec,2015,7(1-3):19-24.

[2]Fitzgerald S,McTier L, Whitehead C, et al.Inter-rater reliability of descriptors for the classification of mucosal pressure injury: A prospective cross-sectional study [J].Aust Crit Care,2022.

[3]Coyer F,Miles S,Gosley S, et al.Pressure injury prevalence in intensive care versus non-intensive care patients: A state-wide comparison [J].Aust Crit Care,2017,30(5):244-250.

[4]李茜,王丽竹,朱祎容, 等.ICU经口气管插管患者口腔黏膜压力性损伤的研究进展[J].中华急危重症护理杂志,2023,4(5):473-477.

[5]Kim C H,Kim M S,Kang M J, et al.Oral mucosa pressure ulcers in intensive care unit patients: A preliminary observational study of incidence and risk factors [J].J Tissue Viability,2019,28(1):27-34.

[6]刘迪.EICU经口气管插管患者发生相关性口腔黏膜压力性损伤的现状及影响因素分析[D].北京:中国医学科学院清华大学医学部北京协和医学院,2022.

[7]Barakat-Johnson M,Lai M, Wand T, et al. The incidence and prevalence of medical device-related pressure ulcers in intensive care: a systematic review[J].J Wound Care,2019,28(8):512-521.

[8]Esperón Güimil J A,Freire Rodríguez M, Escudero Quiñones A I,et al.[Endonasal tubes as cause of pressure ulcers in the critical patient] [J]. Enferm Intensiva, 2009, 20(1): 10-18.

[9]张艳,刘童心,张宇,等.导尿管不同固定部位对预防脑卒中患者黏膜压力性损伤的影响[J].实用医药杂志,2018,35(6):541-543.

[10]陈晓青,梁英,姚宁.亲水涂层导尿管在脊髓损伤病人间歇导尿中的应用[J].护理研究,2014,(33):4192-4193.

[11]Aydım Kudu A,Taşdemir N,Sönmez M.Incidence of medical device-related pressure injuries in the intensive care unit and related risk factors[J].J Tissue Viability,2023,32(4):564-571.

[12]Lyu Y,Huang Y L,Li Z Y, et al.Interventions and strategies to prevent medical device-related pressure injury in adult patients: A systematic review [J].J Clin Nurs,2023,32(19-20):6863-6878.

[13]Bechinger B,Gorr S U.Antimicrobial Peptides:Mechanisms of Action and Resistance[J].J Dent Res,2017,96(3):254-260.

[14]张艳,刘童心,张宇,等.导尿管不同固定部位对预防脑卒中患者黏膜压力性损伤的影响 [J]. 实用医药杂志,2018,35(6):541-543.

[15]王娜,林元婷,熊尹诗,等.ICU患者医疗器械相关压力性损伤预防的证据总结[J].中国实用护理杂志,2022,38(13):992-927.

[16]Nakamura K,Yamamoto T,Ema R, et al. Effects of mechanical stress on human oral mucosa-derived cells[J].Oral Dis,2021,27(5): 1184-1192.

[17]张艺, 张建凤. PDCA在预防经口气管插管致口唇黏膜压力性损伤中的应用 [J].护士进修杂志, 2017,32(20):1906-1908.


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