在压力损伤早期检测当前技术的最先进审查
Yi-Ting Tzen1, Barbara Delmore2, Kath M Bogie3
1Department of Applied Clinical Research and Department of Physical Medicine and Rehabilitation, UT Southwestern Medical Center, Dallas, TX.
Advances in skin & wound care
|October 14, 2025
概括
几种设备对早期压力损伤 (PI) 检测有希望,特别是在肤色较深的人群中. 这些技术可以增强,但不能取代高风险患者的标准皮肤评估.
科学领域:
- 生物医学工程 生物医学工程
- 临床技术 临床技术
- 皮肤病学 皮肤病学
背景情况:
- 压力损伤 (PIs) 是一个重要的医疗保健挑战.
- 早期发现PI对于有效的预防和治疗至关重要.
- 目前的标准评估依赖于视觉检查和触摸,这可能有局限性.
研究的目的:
- 审查可用于早期压力损伤检测的可用设备.
- 总结这些设备临床实施的挑战和机会.
- 为不同类别的设备提出评估标准.
主要方法:
- 对PubMed和美国食品和药物管理局 (FDA) 数据库的系统审查.
- 包括英语,同行评审,全文文章.
- 不包括意见陈述,非实证数据或无关研究.
- 数据提取包括测量机制,输出,FDA分类和临床使用数据.
主要成果:
- 确定了四种临床设备:超声波,红外热学,皮下湿度评估和近红外光谱学.
- 确定了三种研究设备:激光多普勒流量计,激光光斑对比成像和色度计.
- 设备测量PI的非视觉迹象,如炎症,,缺血和缺氧 (除了色度测量).
结论:
- 临床设备显示出早期PI识别的潜力,特别是在肤色较深的人群中.
- 目前没有可用于PI早期检测技术的退款.
- 验证的设备应该补充,而不是取代高风险患者的标准视觉和触摸评估.
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