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2020年1月27日,国家卫生健康委针对新型冠状病毒肺炎的防护发布了《新型冠状病毒感染的肺炎防控中常见医用防护用品使用范围指引(试行)》[1]的通知,指出医护人员在发热门诊、隔离留观病区(房)、隔离病区(房)和隔离重症监护病区(房)等区域,应当正确佩戴医用防护口罩、乳胶检查手套、护目镜、防护面罩/防护面屏、隔离衣和防护服等防护设备。而医护人员在工作期间,需要长时间穿戴防护用具,局部皮肤因受到垂直压力、摩擦力、剪切力和潮湿环境等的影响,极易导致医疗器械相关压力性损伤(medical device related pressure injuries,MDRPI),不仅影响救治工作也增加了感染的风险。
为此,笔者针对器械相关压力性损伤产生的原因及预防和治疗现状进行综述,旨在为一线防疫医护人员提供相关的防护建议,并为后续压力性损伤的防治工作提供参考。
Recommendations for prevention and treatment of device-related pressure injuries during COVID-19 period
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摘要: 随着新型冠状病毒肺炎的爆发,医护人员处于抗疫一线,救治任务艰巨,抢救工作分秒必争,持续不断。长时间佩戴口罩、护目镜等护具,极易导致鼻部、脸颊部、额部、耳廓后部产生器械相关压力性损伤,面部皮肤红肿甚至破溃,不仅影响救治工作还增加了医护人员感染的风险。本文介绍器械相关压力性损伤概念,综述近年来国内外有关压力性损伤防护和治疗的相关进展,旨在为一线医护人员的器械相关压力性损伤防护提供借鉴。Abstract: With the outbreak of COVID-19, non-stop working medical staff need to wear protective equipment for a long time, which could easily cause device-related pressure injuries to nose, cheek, forehead or the back of auricle, and might even cause facial skin swelling and ulceration. The above problems reduce work efficiency and increase the infection risk for healthcare people. This article introduces the concept of device-related pressure injuries and summarizes the progress of the treatment for device-related pressure injuries at home and abroad in recent years, aiming at providing guidance for frontline medical staff to prevent device-related pressure injuries.
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Key words:
- COVID-19 /
- device-related pressure injuries /
- protection and treatment
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图 1 海神护肤贴的穿戴示例[13]
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