We usually introduce that long-term bedridden elderly and paraplegic patients are high-risk groups for bedsores, but there is also a group of people that cannot be ignored - fracture patients.
Pressure ulcers are one of the common complications in orthopedics. Due to the perioperative and recovery periods of fracture patients, 80% of them need to stay in bed for a long time, and local tissues are compressed for a long time, which can easily lead to blood circulation disorders and cause soft tissue necrosis. This not only reduces the quality of life of patients, but also hinders the treatment and recovery of fractures. There are statistical data in clinical practice indicating that 60% to 70% of orthopedic patients will develop bedsores, which has become a difficult and key nursing point in orthopedic clinical practice.
Reasons for bedsores in fracture patients:
1. Sacral and caudal pressure ulcers
Due to the unique physiological structure of the sacrococcygeal region, the probability of developing bedsores is high. The sacrococcygeal region lacks sufficient muscle attachment to form effective protection, and there is also a lack of sufficient adipose tissue protection. When the patient is bedridden, this area is tightly attached to the bed, and the compression lasts for a long time. It is also subjected to prolonged frictional and shear forces, causing serious obstacles to local blood circulation and increasing the possibility of pressure ulcers.
2. Heel pressure ulcer
The majority of pressure ulcers in this area are caused by the use of traction plaster for fixation after a foot fracture. This area is located at the farthest end of the human limb, where blood transport is insufficient and there is not enough muscle and fat attachment to protect it. This makes pressure ulcers easy to occur, and wrapping the affected limb with traction plaster can cause serious obstacles to blood flow back, which becomes one of the external factors contributing to the occurrence of pressure ulcers in this area.
3. The patient's own conditions, such as advanced age, weak constitution, and nutritional deficiency, are important factors that greatly increase the probability of bedsores.
4. The main environmental factor that promotes the occurrence of bedsores is humidity. When using plaster bandages and splints, the local environment is relatively closed and the breathability is poor. five
5. At the same time, some external environmental care measures were taken improperly, such as hard hospital beds.
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