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題名 | 慢性傷口之物理治療=Physical Therapy for Chronic Wounds |
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作者 | 鐘秀慧; 胡名霞; Chung, Hsiu-hui; Hu, Ming-hsia; |
期刊 | 中華民國物理治療學會雜誌 |
出版日期 | 19970100 |
卷期 | 22:1 1997.01[民86.01] |
頁次 | 頁55-67 |
分類號 | 416.127 |
語文 | chi |
關鍵詞 | 壓瘡; 血管性慢性傷口; 物理治療; Pressure ulcer; Vascular leg ulcers; Physical therapy; |
中文摘要 | 慢性傷口,尤其是壓瘡及下肢血管性傷口,是老年人及慢性病人常見的問題。傳 統的物理治療處理方式強調定時翻身、恰當的擺位、以及使用紫外線照射等療法以預防傷口 發生及促進組織癒合。此外,水療、電療、及低能雷射亦為選用之物理治療方式。例如國內 曾有個案報告指出低能雷射對於壓瘡傷口的癒合有相當好的療效。雖然物理治療對於慢性傷 口的處理方式相當多,而且許多文獻顯示有相當好的療效,然而國內臨床上因慢性傷口,尤 其是下肢血管性傷口,而照會物理治療皂病人卻並不多。反之,國外的物理治療師對於患有 慢性傷口的病人卻扮演相當積極的治療角色。本文將討論壓痴及下肢血管性慢性傷口之物理 治療評估與處置方式,尤其是對於國內較不熟悉之評估項目的治療項目做比較仔細的介紹。 例如壓瘡的分級法、 傷口大小的標準測量法、 傷口狀態的記錄法、 踝臂血壓比值( ankle-brachial index, 簡稱 ABI )等評估法, 以及水療、 電療、超音波、 壓迫療法( compression therapy )的施行方法,均有詳細的介紹。希望藉此討論可以增進國內物理治 療界對參與慢性傷口治療更完整的認識。(中華物療誌 1997;22(1):55-67) |
英文摘要 | Chronic wounds, especialy pressure ulcers and vascular leg ulcers, are commonly seen in older population and long-term care patients. A multidisciplinary team approach is required to manage chronic wounds. The team may include doctors, physical therapists, occupational therapists, sppech pathologists, nutritionists and nurses. With increasing clinical studies suuprting positive effects of physical therapy in wound care, physical therapists are increasing their involvement in the prevention and treatment of chronic wounds. Physical therapists can assist in improving patient mobility, positioning the patient in bed and chair, and providing patients with appropriate suuport surfaces and pressure-relieving devices. Furthermore, an number of physical therapy modalities, such as whirl-pool, electrical stimulation, ultrasound, low-energy laser and compression therapy, can be applied to the patient to enhance wound healing. the management of chronic wounds are a relatively new field for the therapists in Taiwan, and not many patients with chronic wounds are referred to physical therapy. The purpose of this paper is to review the etiology, risk facor, assessment, treatment,and prevention methods of pressure ulcers and vascular leg ulcers. In addition, the treatment indications, contraindications, suggested settings and treatment procedures for whirlpool, electrical stimulation, ultrasound, and compression therapy used in chronic wound care are presented in detail.(JPTA ROC 1997;22(1):55-67) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。