Pressure ulcers in SCI: does tension stimulate wound healing?
Pressure ulcers in SCI: does tension stimulate wound healing?
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SCI 中的压疮：紧张会刺激伤口愈合吗？
DOI：
10.1097/00002060-199603000-00011
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发表时间：
1996
影响因子：
3
通讯作者：
Benson,B
中科院分区：
文献类型：
--
作者：
Goldstein,B;Sanders,JE;Benson,B
压疮在老年人和残疾人中是一个巨大的问题。虽然文献中有很多关于皮肤破裂的病因学、界面压力、自然史和流行病学的研究，但关于皮肤破裂后刺激体壁组织修复的因素的研究相对较少。具体来说，关于机械应力对愈合的影响的信息缺乏。对于那些承受巨大机械力的区域，如会阴组织，这是一个特别重要的考虑。本文的目的是讨论研究解决皮肤和组织修复在应对紧张。来自西雅图VAMC脊髓损伤中心的两个案例研究支持张力刺激伤口愈合的假设。在几周的不愈合后，这些病例中的每一个都在2周内开始了一系列的运动计划，对肌皮瓣的不愈合部分施加张力。
Pressure ulcers are an immense problem among older and disabled populations. Although there are many studies in the literature about the etiology, interface pressures, natural history, and epidemiology of skin breakdown, there is relatively little information about factors that stimulate the repair of body wall tissues after breakdown. Specifically, there is a paucity of information about the effects of mechanical stress on healing. This is a particularly important consideration for those areas, such as the perineal tissues, that bear large mechanical forces. The purpose of this paper is to discuss the research that addresses skin and tissue repair in response to tension. Two case studies that support the hypothesis that tension stimulates wound healing are presented from the Spinal Cord Injury Center at the Seattle VAMC. After weeks of nonhealing, each of these cases healed within 2 weeks of initiating a range of motion program that applied tension to the nonhealing portion of a myocutaneous flap.