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在神经内科护理工作中,褥疮是一项十分棘手的问题。如何降低脑血管疾病瘫痪患者褥疮的发生率,一直为医护工作者所关注。我院神经内科自1997年1月～1998年5月共收治脑血管疾病瘫痪者122例。通过我们精心的护理和预防,大大降低了这些瘫痪患者褥疮的发生率,现将我们对这些瘫痪者褥疮的预防及护理措施叙述如下。一、临床资料及结果(一)临床资料:本组122例中,男72例,女50例。年龄在48～86岁之间。瘫痪程度:肢体肌力0～Ⅱ级者32例,Ⅱ～Ⅲ级者64例,Ⅲ级以上者26例。瘫痪类型:脑出血致瘫者56例,脑梗塞致瘫者64例,蛛网膜下腔出血者2例。住院时间:20～70
Bed sores are a very difficult issue in neurological care. How to reduce the incidence of bed sores in patients with cerebral vascular disease paralysis has been of concern to health care workers. Department of Neurology, our hospital from January 1997 to May 1998 were treated 122 cases of cerebral vascular disease paralysis. Through our meticulous care and prevention, the incidence of bedsore in these paralyzed patients is greatly reduced. Now we describe the prevention and nursing measures for bedsore in these paralyzed patients. First, the clinical data and results (a) clinical data: The group of 122 cases, 72 males and 50 females. The age of 48 to 86 years old. Paralysis: limb muscle strength 0 ~ Ⅱ in 32 cases, Ⅱ ~ Ⅲ grade 64 cases, Ⅲ grade 26 cases. Paralysis type: cerebral hemorrhage caused by paralysis in 56 cases, 64 cases of cerebral infarction paralysis, subarachnoid hemorrhage in 2 cases. Hospitalization time: 20 ~ 70