A Study of Clinical Nursing on the Body Temperature and Blood Flow Influence of Bed Sore.

从迄今为止对褥疮的实验和检查的研究过程来看，我们估计褥疮的出现是由皮肤和骨骼附近组织的压力引起的。并通过临床实验和检测，得出以下结论：(1)褥疮组和易发褥疮组的血液、营养、贫血各项指标均低于健康组。(2)用红外热像法测得的皮温，发现老年褥疮患者和易发褥疮患者的皮温在10分钟后测量值均有所上升。(3)褥疮组和易发褥疮组骶骨区和臀小肌区的皮温深度（10mm）在10min后升高较改变体位后升高明显。(4)健康老年人的皮温深度在骶骨区高于臀小肌区，而在体位改变后，臀小肌区高于骶骨区，我们认为在褥疮出现的状态下，在出现发红或表皮脱落之前，在臀部附近的组织已经发生了变化。而且，如果形成组织的蛋白质不足，并且为组织提供营养的血液结构不正常，则由于身体压力等原因，在血液供应下降的组织中容易引起坏死的变化。因此与此相对应的护理技术验证是未来的课题。

Judging from the process of the study by experiments and examinations on Bed Sore made up to now, we estimated that the presenting of Bed Sore was caused by the pressure of the tissue near a skin and a bone. And from the data of the clinical expriments and examinat ions, we got the following results.(1) As to the values of the inspections of blood, on nutrition and Anemia in all the Items those of the aged with Bed Sore and with easily presenting Bed Sore are lower than those of the healthy aged.(2) As to skin temperature by thermogram, we found tliat, that of the aged with Bed Sore and the aged easily presenting with Bed Sore had risen in the values of measurement after 10 minutes.(3) The depth of a skin temperature (10mm) of the aged with Bed Sore and the aged easily presenting with Bed Sore rose higher after 10 minutes than just after the change of posit-ion on both the sacrum area and the musculus gluteus minimus area.(4) The depth of a skin temperature of the healthy aged is higher on the sacrum area than on the musculus gluteus minimus area, but just after the change of position, it is hiyber on the musculus gluteus minimus area than on the sacrum area.We think that in the state of the presenting of Bed Sore, a change has happened in the tissue near a borie before redness or excoriation appears. And if the protein forming a tissue is insufficient and the constitution of blood to supply the tissue with nutrition is not nornial, the change of necrosis is apt to be caused ill the tissue where the suppy of blood has become fallen because of body pressure and the like. Therefore tile verification of nursing technology corresponding to this is the future subject.