What are the stages of pressure sore? What are the characteristics of each period? How do you care?

Pressure ulcer is a very common clinical complication. This will happen if people sleep in bed for a long time without adjusting their posture, which is also a major problem in medical work. Generally speaking, pressure sore refers to the continuous compression of local tissues of the body, blood circulation disorder, lack of tissue nutrition, and degeneration, ulceration and necrosis of local tissues due to loss of normal function.

Pressure ulcers are generally divided into three stages, namely, blood stasis and ruddy stage, inflammatory infiltration stage and ulcer stage. So, how to care for patients in these three stages? We might as well explain briefly:

The first is the period of blood stasis and ruddy, during which we should eliminate the cause in time and take various measures actively. Prevent local pressure from continuing, increase the number of laps, and avoid irritation such as friction and humidity. Keep local clean and dry, promote local blood circulation and improve the nutritional status of the whole body.

Then there is the inflammatory infiltration period, during which we should try our best to protect the skin and avoid infection. In addition to continuing to strengthen the above measures, unbroken blisters can be wrapped with sterile gauze to reduce friction, prevent infection and promote their self-absorption; Disinfect the local skin first, then pump out the liquid in the blister with a sterile syringe (the epidermis cannot be cut off), coat the surface with disinfectant and wrap it with a sterile dressing. If the blister has burst, the wound surface and its surrounding skin should be disinfected and then wrapped with sterile dressing.

Finally, the ulcer stage, during which we should relieve oppression, clean the wound, remove corruption and promote its healing. At the same time, the wound should be treated according to the condition of the wound and the surgical dressing change method. Wash the wound with normal saline, 3% hydrogen peroxide and other solutions to remove necrotic tissue, then apply antibiotics (selected according to the results of bacterial culture and drug sensitivity test) and wrap it with sterile dressing.

Of course, in addition to the three-stage nursing methods mentioned above, physical therapy can also be supplemented, such as infrared lamp irradiation, egg inner membrane covering, sugar covering, local oxygen therapy and so on. These physical therapies are also very effective in treating pressure ulcers.